J Korean Radiol Soc.  1990 Apr;26(2):413-421. 10.3348/jkrs.1990.26.2.413.

Fetal polycystic renal disease: prenatal sonographic findings with pathologic correlation

• Jun SA
• Park YH
• Chi JG
• Cha SH
• Kay JW
• Cho JY
• Cha KY
• Cha KS

• KMID: 2358962
• DOI: http://doi.org/10.3348/jkrs.1990.26.2.413

Abstract

Polycystic renal disease are congenital disorders, most of which are fatal in the postnatal period. A seriesof ten cases of polycystic renal disease diagnosed prenatally by ultrasonography is presented. Diagnostic criteriaof ultrasonography for cystic renal disease are: 1. enlarged kidney (4 cases) 2. echogenic density of kidney(3cases) 3. 0.4-0.9cm sized multiple cysts within the renal cortex (3cases) 4. decreased amount of amniotic fluid (4cases) 5. hydronephosis(4 cases) 6. distended bladder (2 cases) 7. absence of bladder (2 cases) Eitht of ten caseswere confirmed by autopsy. Seven cases had other associated congenital anomalies, i.e. plmonary hypoplasia (5),hepatic fibrosis(3), congenital heart disease(3), tracheoesophageal fistula with imperforate anus (1), caudalregression syndrome (1). Meckel-Gruber syndrome (1) and ambiguous genitalia (1). Additional cytogenetic study ofthe fetus and the careful family history taking followed by prenatal diagnosis of cystic renal disease. Preciseprenatal diagnosis may allow patients the option of elective abortion or may prevent unnecessary obstetricintervention.

MeSH Terms

Amniotic Fluid
Anus, Imperforate
Autopsy
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Cytogenetics
Diagnosis
Disorders of Sex Development
Female
Fetus
Heart
Humans
Kidney
Kidney Diseases, Cystic
Polycystic Kidney Diseases*
Prenatal Diagnosis
Tracheoesophageal Fistula
Ultrasonography*
Urinary Bladder