Predictive factors of ultrasonographic involution of prenatally detected multicystic dysplastic kidney

Rabelo, Eli Armando Siqueira; Oliveira, Eduardo A.; Silva, Guilherme Souza; Pezzuti, Isabela Leite; Tatsuo, Edson Samesima

doi:10.1111/j.1464-410x.2005.05418.x

Cited by 42 publications

(3 citation statements)

References 35 publications

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“…L'involutiontotale a été montrée dans 20% et l'involution partielle dans 67% des DRMK [20]. Dans notre série, les parturientes avaient bénéficié d'un contrôle échographique régulier où on a pu surveiller la taille et le nombre des kystes, le rein controlatéral ainsi que le liquide amniotique.…”

Section: Discussionunclassified

Diagnostic anténatal de la dysplasie rénale multikystique: à propos de 18 cas

Chaara¹,

Adadi²,

Attar³

et al. 2019

Pan Afr Med J

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La dysplasie rénale multikystique (DRMK) correspond à l'expression clinique la plus fréquente des “Congenital Abnormalities of Kidney and Urinary Tract (CAKUT)”. Son étiopathogénie reste discutée et l'hypothèse obstructive est généralement admise. L'échographie obstétricale représente le moyen de référence pour son diagnostic anténatal et qui nécessitera la recherche d'autres malformations associées. Une prise en charge anténatale repose principalement sur la surveillance échographique de l'évolution de la grossesse et de la pathologie, de l'apparition d'autres anomalies et de la quantité du liquide amniotique. L'objectif est de rapporter l'expérience du Service de Gynécologie-Obstétrique 2 du CHU Hassan II de Fès afin de: préciser l'épidémiologie de la DRMK; rapporter la pertinence de l'échographie obstétricale dans le diagnostic positif et étiologique; décrire les aspects échographiques; établir un suivi des grossesses et évaluer l'évolution de la pathologie; écrire les modalités de surveillance et de prise en charge anténatales; rapporter l'évolution en postnatal et établir un pronostic.

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Section: Discussionunclassified

Diagnostic anténatal de la dysplasie rénale multikystique: à propos de 18 cas

Chaara¹,

Adadi²,

Attar³

et al. 2019

Pan Afr Med J

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“…Compared to the general population there is no clinically significant increased risk of hypertension. The incidence of hypertension has been reported to be 0.5% to 14.4% in the MCDK population (12)(13)(14)(15) . In our study population, the rate of hypertension (16.6%) was found to be higher than the expected rates (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Long-Term outcome of multicystic dysplastic kidneys: A single center experience.

Can¹,

Sarıtaş²,

Alparslan³

et al. 2017

Terh

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Objective: Multicystic dysplastic kidney (MCDK) is one of the most common developmental anomalies of the kidney with an incidence of approximately 1 in 4300 live births. The goal of our study was to review our follow-up procedure of children with MCDK through this study via comparison of outcomes with the literature. Methods: Follow-up outcomes of 36 pediatric patients with antenatally detected unilateral MCDK were assessed. Results: The compensatory renal hypertrophy of the contralateral kidney was seen in 94.4% of the patients and mean complete involution time was 22.97±32.63 months. Four patients underwent nephrectomy because of hypertension resistant to medication in 2 patients and parental concern in 2 patients. Vesicoureteral reflux (VUR) was the most frequent anomaly detected in 5 (13.8%) patients. VUR were low grade in all patients and any scar was not detected on DMSA. Conclusion:The results of our study showed that MCDK is usually a benign disease. Ultrasound is a noninvasive and cost-effective method of choice in follow-up. A VCUG may not be routinely required in MCDK patients unless renal US reveals signs of suspect VUR or renal parenchymal defects.Keywords: Multicystic dysplastic kidney, nephrectomy, hypertension, complete involution, urological anomalies ÖZ Amaç: Multikistik displastik böbrek (MKDB), böbreğin en sık görülen gelişimsel anomalilerinden birisidir. Yaklaşık olarak 4300 canlı doğumda bir görülmektedir. Çalışmamızın amacı, MKDB'li çocukların takip prosedürünün mevcut sonuçlarımızı literatür ile karşılaştırılması yoluyla gözden geçirmektir. Yöntem: Antenatal tanılı MKDB'li 36 çocuk hastanın izlem sonuçları değerlendi-rildi. Bulgular: Hastaların %94,4'ünde karşı taraf böbrekte kompanzatris hipertrofi görüldü. Tam involüsyon süresi ortalama 22,97±32,63 ay idi. İkisi ilaç tedavisine dirençli hipertansiyon ve 2'si ebeveyn endişesi nedeniyle olmak üzere 4 hastaya nefrektomi yapıldı. Vezikoüreteral reflü (VUR) en sık görülen anomali olarak saptandı. Beş (%13,8) hastada VUR saptandı. Saptanan VUR tüm olgularda düşük dereceliydi ve DMSA'da skar saptanmadı. Sonuç: Çalışmamızın sonuçlarına göre MKDB genellikle iyi huylu bir hastalıktır. Ultrasonografi hastaların izleminde yeğlenebilecek girişimsel olmayan ve maliyet etkin bir yöntemdir. Ultrasonografi bulguları renal parenkimal defekt ve şüpheli VUR bulguları göstermedikçe rutin VCUG yapılması gerekmeyebilir.

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“…The vast majority of MCDK involute with time and remain asymptomatic [ 64 - 66 ]. The treatment is follow-up; resection is rarely indicated and usually reserved for cases in which there is increasing kidney size rather than involution [ 60 ].…”

Section: Renal and Retroperitoneal Cystic Massesmentioning

confidence: 99%

Approach to the postnatal sonographic evaluation of prenatally detected abdominopelvic cysts

Muthee

Bray

2022

Ultrasonography

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Prenatally detected abdominal and pelvic masses are commonly cystic in morphology and usually seen at mid-trimester sonography. Sonography is the favored imaging modality for postnatal evaluation of these lesions in newborns, given the availability, low cost, lack of ionizing radiation, lack of sedation, and high spatial resolution in small patients. The differential diagnosis of abdominopelvic cystic masses in the newborn is broad given that they can arise from many organs and may have overlapping features on imaging. This article illustrates an approach to the postnatal sonographic evaluation of prenatally detected cystic abdominal and pelvic masses based on their anatomic location as well as distinctive sonographic characteristics, which can aid in accurate diagnosis and guide appropriate management.

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Predictive factors of ultrasonographic involution of prenatally detected multicystic dysplastic kidney

Cited by 42 publications

References 35 publications

Diagnostic anténatal de la dysplasie rénale multikystique: à propos de 18 cas

Diagnostic anténatal de la dysplasie rénale multikystique: à propos de 18 cas

Long-Term outcome of multicystic dysplastic kidneys: A single center experience.

Approach to the postnatal sonographic evaluation of prenatally detected abdominopelvic cysts

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