2007-07-30-10 Multicystic dysplastic kidney disease, unilateral © Cuillier www.thefetus.net/
Multicystic dysplastic kidney disease, unilateral
Fabrice Cuillier, MD*; M. Emorine, MD**; Alice Bertha***.
* Service de Gynécologie, Hôpital F. Guyon, 97400 Saint-Denis, Réunion, France;
** Gynecologist, 97400 Saint-Paul, Ile de la Réunion, France;
*** Student, Arizona State University. University Drive and Mill Avenue Tempe, Arizona 85281.
A 30-year-old G5P4, from a non-consanguineous couple, was referred to our center at 24th week due to an "abdominal cyst" of the fetus. The four precedent pregnancies were not complicated and resulted in normal deliveries. The ultrasonography revealed an enlarged right multicystic kidney of the fetus with absence of corticomedullary differentiation. The bladder was normal. The gender of the fetus was masculine. The cystic structures within the right kidney were slightly growing during the rest of pregnancy. The left kidney was normal. The quantity of amniotic fluid and fetal growth were also normal. The baby was delivered at 36th week (2000g). The postnatal sonography confirmed the findings.
Images 1, 2: 24th week of pregnancy. Transverse scans through the fetal abdomen showing cystic structures within the right kidney. Left kidney appears normal (visible at the image 1).
Images 3, 4: Parasagittal (image 3) and transverse (image 4) scans showing the abnormal right multicystic dysplastic kidney and normal appearance of the left kidney (visible at the image 4 on the left side of the image).
Images 5, 6: 28th week of pregnancy. Detailed transverse scans through the right dysplastic multicystic kidney.