Multicystic dysplastic kidney disease, unilateral

Marcos Antonio Velasco Sanchez, MD; Candelario Conda Moreno, MD; Hilario Bibiano Pano, MD; Aniceto Leguizamo Dimas, MD

Hospital General de la S.S.A. Acapulco, Guerrero. Unidad Quirurgica de Acapulco, Guerrero, Mexico. Facultad de Medicina de la U.A.G. Posgrado. Mex. I.M.D.I Acapulco, Mexico.

Case report

This is a 24-year-old G2P1, scanned at 33 and 36 weeks. The right kidney was multicystic, hyperechogenic with absence of the corticomedullary differentiation. The urinary bladder was normal. The left renal pelvis and ureter were slightly dilated, probably due to uretero-pelvic junction obstruction. The amount of amniotic fluid was normal. No other anomalies were seen.

The baby was delivered at 37th week (2200g). The postnatal ultrasonographic examination confirmed the findings.

Images 1, 2: 33 weeks of pregnancy; Image 1 shows the right kidney with multiple small cysts. Image 2 shows the left kidney with dilated renal pelvic and ureter.

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Images 3, 4: 33 weeks of pregnancy; Images show detailed view at the right kidney with multiple small cysts.

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Images 5, 6: Postnatal sonography. Image 5 shows detailed view of the right multicystic kidney. Image 6 compares the right multicystic kidney (on the left side of the image) and the left kidney (on the right side of the image).

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Image 7: Postnatal image of the neonate.

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