Posterior Urethral Valve and Prenataly Resolved Multicystic Dysplastic Kidney
| Autor: | Zoran Gucev, Natasha Aluloska, Snezana Palchevska, Velibor Tasic, Risto Simeonov |
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| Rok vydání: | 2021 |
| Předmět: |
Posterior urethral valve
Male medicine.medical_specialty Urinary system 030232 urology & nephrology Multicystic dysplastic kidney Prenatal diagnosis Kidney 03 medical and health sciences 0302 clinical medicine Pregnancy Prenatal Diagnosis Medicine Humans Multicystic Dysplastic Kidney Ultrasonography business.industry Infant General Medicine medicine.disease medicine.anatomical_structure Dysplasia Dimercaptosuccinic acid 030220 oncology & carcinogenesis Female Radiology business medicine.drug |
| Zdroj: | Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)REFERENCES. 42(1) |
| ISSN: | 1857-8985 |
| Popis: | Multicystic dysplastic kidney is a rare congenital anomaly of the kidney and urinary tract. The association with the posterior urethral valve is also very rare. Here we present a patient with both entities and prenatal resolution of the cysts. A 10-week old baby was referred for nephrourological work up due to prenatal diagnosis of the left multicystic kidney. He had serial US scans during the pregnancy. Immediately before delivery the cysts were not seen (prenatal resolution). There were no extrarenal anomalies. The first postnatal ultrasound scan revealed normal sized right kidney without dilatation of the pelvicalyceal system. The bladder had normal thickness of the wall. Technetium-99m dimercaptosuccinic acid scan showed no activity on the left side, and the right kidney appeared normal. At two months of age, a poor urinary steam was observed and additional urologic work up was indicated on clinical suspicion of PUV. Voiding urethrocystography revealed posterior urethral valve and the baby underwent cytoscopic valve resection. Conclusion: We present a rare association of two congenital anomalies of the kidney and urinary tract with prenatal involution of the multicystic dysplastic kidney that is extremely rare event as seen in our case. Presence of posterior urethral valve must be suspected in a male baby with a poor urinary stream even when his ultrasound scan of urinary system appears normal. |
| Databáze: | OpenAIRE |
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