RT Journal Article
SR Electronic
T1 Outcome of antenatally detected cystic dysplastic kidney disease.
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 520
OP 522
DO 10.1136/adc.70.6.520
VO 70
IS 6
A1 N al-Khaldi
A1 A R Watson
A1 J Zuccollo
A1 P Twining
A1 D H Rose
YR 1994
UL http://adc.bmj.com/content/70/6/520.abstract
AB Forty four fetuses with multicystic dysplastic kidney (MCDK) disease recognised on antenatal ultrasound were studied prospectively. In nine aborted fetuses and in five who died in the neonatal period the MCDK disease was bilateral or there were associated lethal abnormalities or syndromes. All surviving infants had unilateral disease and in six (20%) there was significant reflux into the normal contralateral kidney. Since 1988 the management of unilateral MCDK disease has been conservative with no child developing sepsis, hypertension, or malignancy. Serial ultrasound examinations suggest that MCDK lesions involute with time and conservative rather than operative management is favoured.