Re: Unilateral, large, hyperechoic kidney
From: recephas@superonline.com
Mon Apr 28 15:28:15 2003
Dear Terry Dubose,
I want to give some information about the fetus with unilateral hyperechoic
kidney. The pregnancy was terminated according to the choice of the parents,
and the fetus was sent to autopsy. I contacted with the pathologist today and
got the following information:
On the large hyperechoic kidney side ureteral duplication was detected. There
were numerous small cystic structures in this kidney. However the other kidney,
ureter and bladder were normal. The pathologist told me that it can't be a
ARPCKD. He said that the report will be written after a consultation.
The other case which was encountered at a nearby hospital is definitely not the
same one. According to the given information, this pregnancy is still
ungoing.
In this case the family had two neonatal deaths due to the infantyl PCKD, and
parents have consanguinty (cousin marriage). This case is more likely to be an
infantyly PCKD. I requested from the responsible colleague to write more
information to the forum.
Thank you for your interest...
Recep Has
University of Istanbul, Faculty of Medicine
Department of Obstetrics and Gynecology
Prenatal Diagnosis Unit
>
> Kimden: Terry J DuBose <tjdubose@juno.com>
> Tarih: 2003/04/24 Thu AM 01:04:18 GMT+02:00
> Kime: Multiple recipients of list ULTRASOUND <ultrasound@mail.medispecialty.
com>
> Konu: Re: Re: Unilateral, large, hyperechoic kidney
>
> Dear Recep Has,
>
> Yes, thanks for the English... any language is fine, but an English
> version helps on this list.
>
> I remember you initial case of unilateral infantyl type of policystic
> kidney (it was homogenously hyperechoic), but not that anyone here had
> seen it before. The case is here:
> http://www.obgyn.net/us/us.asp?page=/us/present/0302/has_kidney
>
> And now you have another case in a hospital near by? Interesting. I
> guess there was no pathology on your case, correct?
>
> Please keep us informed.
>
> Thanks, Terry J. DuBose, M.S., RDMS
> Little Rock, Arkansas USA
>
> --------------------------------------------
>
> --------------------------------------------
> On Wed, 23 Apr 2003 17:30:35 -0500 <recephas@superonline.com> writes:
> --------------------------------------------
> >
> > Sefa merhaba,
> >
> > Burada karşılaşmak çok güzel, ama bizim olgu benim mesajımdan
> > bir-iki hafta
> > sonra terminasyonu istedi, gebelik sonlandırıldı, şu anda patolo ji
> > raporunu
> > bekliyoruz...
> >
> > Görüşmek üzere...
> >
> > Recep Has
> >
> > Dear Colleagues,
> >
> > Sorry for not discussing in English,
> > However a similar case has been diagnosed at a neighbouring
> > hospital, and we
> > are trying to identfy if that one was the same case or not...
> >
> > Dr. Recep Has
> >
> > > Kimden: sefa051@hotmail.com (sefa kelekci)
> > > Tarih: 2003/04/23 Wed PM 10:27:52 GMT+02:00
> > > Kime: Multiple recipients of list ULTRASOUND
> > <ultrasound@mail.medispecialty.
> > com>
> > > Konu: Re: Unilateral, large, hyperechoic kidney
> > >
> > > At Wed, 26 Feb 2003, Recep Has wrote:
> > > >
> > > >I have detected a large (36x18mm), hyperechoic kidney in a 24
> > week
> > > >fetus. The appearence of the kidney was similar to infantyl type
> > of
> > > >policystic kidney (it was homogenously hyperechoic, there was no
> > tumor
> > > >(ie. nephroblastoma, or congenital mesoblastic nephroma) or
> > cystic
> > > >structures in the parenchym, and the pelvis renalis visible but
> > not full
> > > >with urine).
> > > >However, the other kidney was normal in size (31x18mm) and
> > appearence.
> > > >Both adrenal glands were normal in size, localization and
> > appearence.
> > > >Amniotic fluid volume was normal and the largest diameter of the
> > bladder
> > > >was 17mm. Fetus had no additional abnormality.
> > > >
> > > >I looked for if ARPKD (infantyl polycystic disease) could be
> > > >unilateral(at least in this stage of the pregnancy), but found no
> > > >information.
> > > >
> > > >(I will try to upload the images)
> > > >
> > > >Is there any comment on this?
> > > >
> > > >--
> > > >Recep Has
> > > >University of Istanbul, Faculty of Medicine
> > > >Department of Obstetrics and Gynecology
> > > >Prenatal Diagnosis Unit
> > > >
> > >
> > > --
> > > Recep hocam
> > > nerelerde karşılaşıyoruz değerli hocam
> > > Ben süleymaniye den Dr sefa
> > > sanırım o vaka bize geldi açıkcası bizde aynı kuşkuları taşıyoruz
> > ailenin de
> > istegi üzerine vakayı takip ediyoruz şu anda 21 haftalık yine ASV
> > normal
> > mesaneyi izleyemedik ama asit gelişti
> > > yinede aile takip edilmesini istedi. Eğer aynı vaka ise ailenin 2
> > tane IPCKD
> > li infant öyküsü var.
> > > Selamlar
> > > saygılar
> > > sefa kelekci
> > > 0 532 408 28 78
> > >
> >
>
> Dear Recep Has, we have your images and they are being formatted for the
> Editorial Advisory Board's review.
> Thanks, Terry J DuBose, M.S., RDMS
> On Wed, 26 Feb 2003 20:40:28 -0600 recephas@superonline.com (Recep Has)
> writes:
> I have detected a large (36x18mm), hyperechoic kidney in a 24 week fetus.
> The appearence of the kidney was similar to infantyl type of policystic
> kidney (it was homogenously hyperechoic, there was no tumor (ie.
> nephroblastoma, or congenital mesoblastic nephroma) or cystic structures
> in the parenchym, and the pelvis renalis visible but not full with
> urine).
> However, the other kidney was normal in size (31x18mm) and appearence.
> Both adrenal glands were normal in size, localization and appearence.
> Amniotic fluid volume was normal and the largest diameter of the bladder
> was 17mm. Fetus had no additional abnormality.
> I looked for if ARPKD (infantyl polycystic disease) could be
> unilateral(at least in this stage of the pregnancy), but found no
> information.
> (I will try to upload the images)
>
