This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A'Delbert Bowen, MD
Department of Radiology Children's Hospital of Pittsburgh One Children's Place Pittsburgh, PA 15213

Am J Dis Child. 1987;141(6):602-603.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—Several new observations on the natural history of multicystic dysplastic kidneys (MCDKs) may help to deliver Hartman et al^l from their dilemma. On serial prenatal ultrasonography (US) of six fetal MCDKs, Hashimoto et al² found that four MCDKs one increased in size, one shrank, and one initially grew larger but subsequently shrank. Only for this last MCDK was a postnatal sonogram reported: the MCDK had become diminutive when the infant was 6 months old.

Pedicelli et al₃ described nine infants with MCDKs that either diminished in size or completely disappeared over periods of serial US ranging up to three years. Two of these infants, aged 6 and 9 months, underwent operative flank explorations that failed to disclose any vestiges of cysts or renal tissue. The authors postulated that spontaneous involution of MCDKs might account for some cases of apparent, unilateral renal agenesis. nat

Both reports_2,3 suggest that the natural course of . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?