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Dysplastic and polycystic kidneys: diagnosis, associations and management
Author(s) -
Winyard Paul,
Chitty Lyn
Publication year - 2001
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.208
Subject(s) - medicine , etiology , nephrology , fetus , prenatal diagnosis , multicystic dysplastic kidney , dilemma , general surgery , intensive care medicine , pathology , pediatrics , pregnancy , obstetrics , kidney , biology , philosophy , epistemology , genetics
Cystic and bright kidneys can pose a significant diagnostic dilemma when discovered as an incidental finding at the time of a routine fetal ultrasound scan. There are diverse aetiologies with equally variable implications for the prognosis in the affected fetus, and for future pregnancies. Accurate antenatal diagnosis in the absence of any positive family history is often not possible and a team approach to management (to include the fetal medicine specialist, paediatric nephrologist or urologist, geneticists and in some cases, pathologist) is essential. In this review we will attempt to describe the embryology and aetiology of these conditions and suggest an approach to management. Copyright © 2001 John Wiley & Sons, Ltd.