title: Huge bilateral polycystic kidneys with suspicion of malignancy, recurrent bleeding in cysts, and acute abdomen.
abstract: We present a case of huge bilateral polycystic kidneys, with suspicion of malignancy and repeated admissions with acute abdomen, secondary to bleeding in cysts, and anaemia, requiring affected side nephrectomy.
  
  
  CONCLUSIONS
  Autosomal dominant polycystic kidney disease (ADPKD) mostly ends up with end stage renal disease (ESRD), requiring haemodialysis, with increased risk of malignancy and enlargement of kidneys with its associated complications, mostly dealt with conservatively, except malignancy, which requires nephrectomy.
authors.affiliation: Division of Urology, Department of Surgical Specialities, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Tan
authors.initials: T
authors.lastname: Bhatty
authors.forename: Ms
authors.initials: M
authors.lastname: Moazin
authors.forename: R
authors.initials: R
authors.lastname: Haque