Antenatally diagnosed giant multicystic dysplastic kidney resected during the neonatal period

Autor: Tadashi Iwanaka, Makoto Komura, Keiji Goishi, Masahiko Sugiyama, Yutaka Takazawa, Saori Nakahara, Hiroshi Kawashima, Akira Hatanaka, Takashi Igarashi, Yutaka Kanamori
Rok vydání: 2008
Předmět:
Zdroj: Journal of Pediatric Surgery. 43:2118-2120
ISSN: 0022-3468
Popis: At 24 weeks of gestation, a fetus was suspected of having a huge intraabdominal cyst by fetal ultrasound. Multicystic dysplastic kidney (MCDK) was the most probable diagnosis; however, because a solid area was visualized in the large cystic lesion, a neoplasm of the kidney could not be ruled out. A 3529-g boy was born at 35 weeks of gestation by cesarean delivery. Eight days after birth, the tumor was resected. Histopathologic examination confirmed MCDK. The cause of MCDK in this patient was assumed to be ureteral obstruction in early fetal life. These findings suggested that the affected kidney had experienced mesenchyme-to-epithelium transition followed by interaction between the metanephric blastema and ureteral bud.
Databáze: OpenAIRE