Atrophic upper pole of a duplex collecting system masquerading as suprarenal mass: a case study and literature review

The growing use of maternal fetal ultrasound is leading to the discovery of an increasing number of suprarenal masses. Our experience with a cystic suprarenal mass detected on antenatal ultrasound is described. Location and radiographic features could not rule out the possibility of a cystic neuroblastoma; therefore, surgical resection of the mass was performed. Despite the absence of common radiologic characteristics, the pathology of the specimen revealed a non-functioning upper pole of a duplex kidney with complete duplication of the collecting system. Neonatal evaluation and management and the differential diagnosis are discussed.