Presentation
Newly deranged LFTs, no obvious cause on US. Surgical team requested MRCP. Background of chronic renal impairment, longstanding lithium treatment for bipolar disorder.
Patient Data
Age: 45 years
Gender: Female
From the case:
Lithium induced renal disease
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Unremarkable appearance of the gallbladder, with 3 mm polyp but no obvious calculi.
Case Discussion
Lithium is recognized to cause direct damage to the renal tubules. Patients with lithium-induced renal disease will show a steady decline in renal function. The kidneys often demonstrate numerous microcysts.
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