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[Neonatal segmental cystic nephroma. A case report]
M Riccabona1, E Ring, M Häusler
1Universitätsklinik für Radiologie, klinische Abteilung für Kinderradiologie, Graz.
Zeitschrift Fur Geburtshilfe Und Neonatologie
|December 28, 1999
Summary
Multicystic segmental renal dysplasia, a rare condition, was diagnosed in a baby after prenatal imaging. Postnatal evaluation confirmed the diagnosis, leading to a heminephrectomy.
Area of Science:
- Pediatric Nephrology
- Medical Imaging
- Surgical Pathology
Context:
- Multicystic segmental renal dysplasia is an uncommon congenital anomaly in infants.
- Prenatal ultrasound detected a cystic renal malformation, prompting further investigation.
Purpose:
- To report a rare case of multicystic segmental nephroma diagnosed in early childhood.
- To highlight the diagnostic pathway and management of this atypical renal malformation.
Summary:
- A neonate presented with a prenatally detected cystic renal malformation.
- Postnatal evaluation including Doppler sonography, contrast-enhanced CT, and voiding cysto-urethrography confirmed multicystic segmental nephroma.
- Despite interventions, the lesion increased in size, necessitating a heminephrectomy, with final histology confirming the diagnosis.
Impact:
- This case underscores the importance of postnatal reevaluation of prenatally detected cystic renal malformations.
- Appropriate imaging is crucial for diagnosis and guiding treatment decisions, whether conservative or operative.