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Case Report
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| A rare case of unilateral left side multicystic dysplastic kidney and contralateral Vesico-ureteric reflux in a male neonate | ||||||
| Naila Mazher1, Swathi Chacham2, Uppin Narayan Reddy3, Jillalla Narsing Rao4, Janampally Ravi Kiran5, Jakkampudi Naga Sravani5 Aslam6 | ||||||
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1MBBS, (MD, Pediatrics), Junior Resident, Department of Pediatrics, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India.
2MD Pediatrics, DM Neonatology (PGIMER, Chandigarh), Associate Professor, Department of Pediatrics, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India. 3MD Pediatrics, Professor and Head, Department of Pediatrics, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India. 4MD Pediatrics, Professor, Department of Pediatrics, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India. 5MBBS, (MD, Pediatrics), Junior Resident, Department of Pediatrics, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India. 6MBBS, (DCH, Pediatrics), Junior Resident, Department of Pediatrics, Princess Esra Hospital, Deccan College of Medical Sciences, Hyderabad, Telangana, India. | ||||||
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| Mazher N, Chacham S, Reddy UN, Rao JN, Kiran JR, Sravani JN, Aslam. A rare case of unilateral left side multicystic dysplastic kidney and contralateral Vesico-ureteric reflux in a male neonate. Int J Case Rep Images 2015;6(5):290–295. |
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Abstract
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Introduction:
Multicystic dysplastic kidney (MCDK) is a rare congenital disorder, resulting from malformation of the kidney during fetal development. It could be unilateral, bilateral or segmental and bilateral MCDK is incompatible with survival. Unilateral MCDK occurs in 1 in 4300 live births and combined incidence of unilateral and bilateral MCDK is 1 in 3600 live births. The malformed kidney is non-functional with multiple irregular cysts of varying size, separated by dysplastic parenchyma along with absent pelvicaliceal system.
Case Report: A 35-week, preterm, male neonate was born to a primigravid by C-Section. There was a history of second degree consanguinity. Antenatal ultrasonography at 17th week of gestation showed left side MCDK with oligohydramnios and without other malformations,which was confirmed by fetal magnetic resonance imaging (MRI). Postnatal ultrasonography also revealed left side MCDK with grade II vesico-ureteric reflux on the right side in micturating cystourethrogram and absent function in the affected kidney in dimercaptosuccinic acid (DMSA)scintigraphy. Conclusion: We report a preterm, male neonate with antenatally detected non-functional left side multicystic dysplastic kidney with postnatal confirmation and grade II vesico-ureteric reflex on the right side. | |
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Keywords:
Dimercaptosuccinic acid, Multicystic dysplastic kidney, Neonate, Oligohydramnios, Vesico-ureteric reflux
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Author Contributions
Naila Mazher – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Swathi Chacham – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Uppin Narayan Reddy – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Jillalla Narsing Rao – Conception and design, Acquisition of data, Analysis and interpretation of data, Final approval of the version to be published Janampally Ravikiran – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Jakkampudi Naga Sravani – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Aslam – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Naila Mazher et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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