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Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
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Multicystic dysplastic kidney: a retrospective study.

Sathish Sharada1, Mahalingam Vijayakumar, Prahlad Nageswaran

  • 1Departments of *Pediatrics and Pediatric Nephrology, Mehta Children's Hospital, Chetpet, Chennai, India. Correspondence to: Dr M Vijayakumar, Consultant Pediatric Nephrologist, Mehta Children's Hospital, No.2(e) Mc Nichols Road, 3rd Lane, Chetpet, Chennai 600 031, Tamilnadu, India. doctormvk@gmail.com.

Indian Pediatrics
|August 18, 2014
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Summary

Multicystic dysplastic kidney (MCDK) often resolves spontaneously in children. However, close pediatric nephrology follow-up is essential to monitor for renal structural and functional anomalies, including vesicoureteric reflux.

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Area of Science:

  • Pediatric Nephrology
  • Medical Imaging
  • Urology

Background:

  • Multicystic dysplastic kidney (MCDK) is a common congenital anomaly.
  • Understanding the natural history and associated renal anomalies is crucial for management.

Purpose of the Study:

  • To describe the renal structural and functional anomalies in children diagnosed with MCDK.

Main Methods:

  • Retrospective analysis of 47 children with MCDK.
  • Data collected over a 6-year period from a pediatric nephrology unit.
  • Follow-up duration exceeded 12 months for 31 children.

Main Results:

  • Antenatal diagnosis in 72.3% of cases.
  • Spontaneous involution of MCDK observed in 68% of followed children.
  • Vesicoureteric reflux was the most common renal abnormality (28%); higher creatinine in contralateral reflux.
  • Sub-nephrotic proteinuria associated with involution; no hypertension, 6.4% renal failure.

Conclusions:

  • MCDK exhibits a high rate of spontaneous involution.
  • Vesicoureteric reflux and proteinuria are significant associated findings requiring monitoring.
  • Continuous pediatric nephrological surveillance is vital for children with MCDK.