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11/25. Bilateral multicystic kidneys--an unusual case.

    Multicystic dysplasia of the kidneys is a condition whose prognosis is good as it usually presents unilaterally. Bilateral cases are usually fatal in utero. We report a case of bilateral multicystic dysplasia of the kidneys where the lower moiety of the right kidney was spared cystic change. The patient had normal renal function and, following conservative management, remains alive and well 6 months later.
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ranking = 1
keywords = kidney
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12/25. Neonatal bartter syndrome with unilateral multicystic dysplastic kidney disease.

    Neonatal bartter syndrome is characterized by antenatal presentation with polyhydramnios. In this paper, we report a case of neonatal bartter syndrome associated with unilateral multicystic dysplastic kidney disease. To our knowledge, this is the first case report of such an association.
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ranking = 1.9346844566426
keywords = kidney disease, kidney
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13/25. Hydronephrotic obstructed kidney mimicking a congenital multicystic kidney: case report with review of literature.

    OBJECTIVE: To report a case of obstructed hydronephrotic kidney mimicking a multicystic kidney and to review the literature regarding differentiation of the hydronephrotic variant of multicystic kidney from the obstructed hydronephronic kidney. To suggest a possible algorithm in distinguishing them. methods: We have reported a case of a 35-year-old male who presented with dull aching pain and a palpable right-sided cystic flank mass of several years duration. The initial workup suggested a nonfunctioning multicystic kidney while the operative findings and histopathology were suggestive of an obstructed hydroenphrotic kidney with pyelonephritic changes. We searched the literature using the key words hydronephrotic dysplastic kidney and multicystic kidney. RESULTS: A detailed literature search did not reveal any such publication describing the differentiation of the hydronephrotic multicystic dysplastic kidney from the obstructed hydronephrotic kidney of pelviureteral obstruction. We reviewed the existing literature on this subject, on the basis of which, we have suggested a six-stepladder approach to distinguish such cases. CONCLUSION: By using the 6 step ladder protocol algorithm suggested by us one can attempt to distinguish the hydronephrotic variant of multicystic dysplastic kidney from the hydronephrotic kidney due to pelviureteral obstruction in patients presenting with a symptomatic cystic flank masses of renal origin. Differentiation between the two may be difficult at times due to the medial/central placement of cysts in the former. This is necessary since renal salvage may be possible in the latter while timely nephrectomy may be considered in the former to prevent against the hazards of leaving behind a dysplastic kidney in situ.
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ranking = 3
keywords = kidney
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14/25. Neonatal hirschsprung disease with multicystic dysplastic kidneys presenting as multiple gastrointestinal perforations.

    intestinal perforation as a presentation of hirschsprung disease is rare, occurring mostly in infants less than 3 months of age, usually those with long-segment disease. hirschsprung disease may also be associated with other anomalies, that complicate the management and prognosis. Identifying hirschsprung disease as a cause of perforation will thus help in deciding the site of colostomy and looking for associated anomalies. We report a case of Hirschsprung disease with multiple intestinal perforations and bilateral multicystic kidney disease.
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ranking = 0.95836546275709
keywords = kidney disease, kidney
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15/25. Familial syndromic duodenal atresia: Feingold syndrome.

    Familial duodenal atresia occurs as part of Feingold syndrome. Other features of this variable autosomal dominant condition include tracheo-oesophageal fistula and oesophageal atresia, microcephaly, hand and foot anomalies, facial dysmorphism, and developmental delay. We report a father and two sons with Feingold syndrome. One has bilateral dysplastic kidneys which have not been reported previously.
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ranking = 0.14285714285714
keywords = kidney
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16/25. Mullerian papilloma of the cervix in a child with multiple renal cysts.

    An 18-month-old girl was referred for evaluation of vaginal bleeding and a renal mass. ultrasonography and computed tomography revealed multiple simple cysts within the left kidney and a normal right kidney. At vaginoscopy, a 1-cm frond-like papillary lesion overlying the cervix was identified. The pathologic diagnosis was mullerian papilloma, a rare benign tumor of the vagina and uterine cervix. None of the approximately 40 previously reported cases have been associated with renal anomalies, despite the historical classification of these lesions as mesonephric papillomas. We report the first patient with both a renal anomaly and mullerian papilloma of the uterine cervix.
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ranking = 0.28571428571429
keywords = kidney
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17/25. Congenital ureteric strictures: an uncommon cause of antenatally detected hydronephrosis.

    Often misdiagnosed as primary megaureter or pelviureteric junction obstruction, congenital ureteral stenosis and valves are the main causes of congenital ureteric obstruction. We report three consecutive cases of congenital ureteric strictures presenting with antenatally diagnosed hydronephrosis. Two of our cases had a contralateral multicystic dysplastic kidney. We discuss the aetiology, clinical presentation, diagnostic evaluation, surgical management, and operative results as well as present an overview of the international literature, highlighting the importance of early referral in cases of contralateral abnormality as well as the importance of performing a retrograde study to facilitate the diagnosis and choice of incision.
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ranking = 0.14285714285714
keywords = kidney
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18/25. A familial case of multicystic dysplastic kidney.

    A familial case of multicystic dysplastic kidney (MCDK) is described. The proband is a one-year-old boy with left MCDK, and his father was also revealed to have unilateral MCDK. The mother had two abortions; the second pregnancy was terminated because of bilateral MCDK of the fetus (Potter anomaly). The two patients and the aborted male fetus did not have any malformations except for MCDK. Thus in this family MCDK occurs as an isolated phenomenon in three individuals within two generations, presumably as a result of autosomal dominant inheritance.
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ranking = 0.71428571428571
keywords = kidney
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19/25. Cross-fused ectopic multicystic dysplastic kidney with associated ureterocele.

    We describe a case of the unique congenital anomaly of cross-fused ectopic multicystic dysplastic kidney with associated ureterocele and demonstrate the usefulness of magnetic resonance imaging in fetal imaging.
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ranking = 0.71428571428571
keywords = kidney
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20/25. Malignant retroperitoneal tumor arising in a multicystic dysplastic kidney of a girl with Schinzel-Giedion syndrome.

    We report the first case of malignant retroperitoneal tumor arising in a multicystic dysplastic kidney of an 8-year-old girl with Schinzel-Giedion syndrome. Although conservative treatment has been regarded as the standard management for asymptomatic multicystic dysplastic kidney, prophylactic surgical removal should be considered for selected children with potential risk of malignancy.
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ranking = 0.85714285714286
keywords = kidney
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