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Multicystic dysplastic kidney. 1/2000 Common cause of abdominal mass in newborn Contralateral VUR:15% Contralateral hydronephrosis:5-10%. Sonography: kidney replaced by multiple cyst of varying size, no communication, no identifiable parenchyma. Renal scan: no function Annual followed up

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Multicystic dysplastic kidney
Multicystic dysplastic kidney

  • 1/2000

  • Common cause of abdominal mass in newborn

  • Contralateral VUR:15%

  • Contralateral hydronephrosis:5-10%



Multicystic dysplastic kidney1
Multicystic dysplastic kidney size, no communication, no identifiable parenchyma.

  • Simple

  • Complex: combined with other GU abnormality (duplication of the collecting system, dilation of the ureter or renal pevis, posterior urethral valve, neurogenic bladder, uretocele, cryptorchism)


  • Simple MCDK had an incidence of UTI similar to in children without MCDK(5%)

  • Complex MCDK : increased risk of UTI: 28%

  • Bilateral or unilateral MCDK with associated GU abnormality place the patietn at the incrased risk of UTI independent of VUR

    Clinical course and outcome for children with MCDK , Pedriatr Nephrol(2000)


Eur j pediatr 1998
Eur J Pediatr(1998) without MCDK(5%)

  • Multicystic kidney shrink in the first 2 years of life

  • Contralateral kidney maintain a normal renal function as a consequence of progressive compensatory hypertrophy


Clinical feature of unilateral mckd in child eur j pediatr 1998
Clinical feature of unilateral MCKD in child without MCDK(5%)Eur J Pediatr(1998)

  • 40/204: nephrectomy

  • 164/204; conservative tx

  • Slight renal function impairement

  • No difference in the number of complication in two group.


Prophylaxis antibiotics
Prophylaxis antibiotics? without MCDK(5%)


Outcome
outcome without MCDK(5%)


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