Antenatal multicystic kidney disease
Author:
Pediatric Oncall
Question
A 32 years old woman with 8 months gestation went for a regular antenatal sonography. It was found that the fetus had a right multicystic kidney disease. Other kidney was normal. There was no oligohydramnios. Other antenatal checkup and maternal history was normal.
How should this child be managed further?
Expert Opinion :
There was an antenatal diagnosis of multicystic dysplastic kidney made on ultrasound with other kidney being normal. Since the mother is already in 8 months of pregnancy, in such a case, one should just wait for the child to be delivered normally and repeat an ultrasound of abdomen in the child on Day 3 of life. If the ultrasound confirms the antenatal report, the child should be monitored with renal function tests, blood pressure and growth. Also renal scan can be done at 3 months of age to determine the function of that kidney. If there is any evidence of reflux, micturating cystourethrogram may be required.