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Re: Renal Agenesis and Noncystic Renal Dysplasia From: Dr Fazeel uz Zaman (fazeel@atd.hazara.net.pk) Sat May 19 15:22:04 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Martin Necas: "Re: Risk of 2nd trimester amniocentesis" Previous message: DR.JOE ANTONY: "Thanks The-Hung Bui" Maybe in reply to: Rich Dempsey RDMS/RVT : "Renal Agenesis and Noncystic Renal Dysplasia" Next in thread: udaya kumar: "Re: Renal Agenesis and Noncystic Renal Dysplasia" Yes, it seems that one kidney is absent and other is hypoplastic. You can post picture to this forum. Glad to see you here. Dr. Fazeel Rich Dempsey RDMS/RVT wrote: > Scanned a 7 day old female infant,(born at 38 weeks prematurity) with a > creatinine of 3.0, and metabolic acidosis (although the infant > apparently has a malrotated gut and vomiting), and abmormal blood K > levels. Lasix injection resulted in 70 cc of urine. They infant has > lost 20% of its birthweight, presumably due to dehydration. > > I was unable to locate a right kidney, after an extensive search from > the right adrenal gland down the psoas to the pelvis. The LEFT kidney > was in the expected location, but measured only 2.5 cm, which is 2 SD > below the mean of 4.5 cm for a newborn. Scanning (last resort) through > the infant's back the left kidney, psoas, spine, and right psoas were > vizualized. I felt that fused cross ectopia, etc was unlikely, although > a nuclear renogram is the next planned test. > > There was no hydronephrosis, cortical or medullary cysts. The solitary > kidney appeared mildly echogenic; there were hypoechoic areas within the > renal cortex/medulla, however they were NOT arranged like neonatal renal > pryramids. I don't believe that they were cysts though. MOST > unfortunately I was unable to do Color Doppler for renal vein > thrombosis,presence of a RRenArt, etc. > > There was a small amount of urine present in the normal appearing > bladder, a uterus and (probably? both ovaries were briefly seen). This > was a tough scan,done portably, on an irritable neonate. > > Anyone know of syndromes with these findings, or are the findings just > part of the continuum stopping short of bilateral renal agenesis ? > (Solitary dysplastic kidney). > > Reply: ridem@msn.com Next message: Martin Necas: "Re: Risk of 2nd trimester amniocentesis" Previous message: DR.JOE ANTONY: "Thanks The-Hung Bui" Maybe in reply to: Rich Dempsey RDMS/RVT : "Renal Agenesis and Noncystic Renal Dysplasia" Next in thread: udaya kumar: "Re: Renal Agenesis and Noncystic Renal Dysplasia"

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