[Multicystic renal dysplasia with ectopic implantation of the ureter in boys. Apropos of 6 cases].
The prevalence of multicystic dysplastic kidney has increased since the development of antenatal ultrasound diagnosis. Even though, the rarity of symptomatic forms and case reports of spontaneous regressions antenatally or after postnatal ultrasound follow-up have reduced indications of nephrectomy which is less and less appropriate. However, discovery of ectopic ureteric implantation in boys makes certain additional investigations as intravenous pyelography, cystography and ultrasound, essential before making any therapeutic decision. Nevertheless, some cases remain undescriptible. In these cases, operative opacification of any patent ureter can provide more precise information about ureteric implantation. Lastly, only a dissection and resection as complete as possible of any patent ureter and pelvic cystic dilatation can prevent subsequent complications.
Gueye
S M
SM
Service de Chirurgie Pédiatrique, Groupe hospitalier Pellegrin, Bordeaux.
Vergnes
P
P
Janoyer
M
M
Allard
P
P
Chateil
J F
JF
Bondonny
J M
JM
D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009392:Nephrectomy; D007690:Polycystic Kidney Diseases / Q000150:complications* / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery; D014463:Ultrasonography; D014513:Ureter / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014515:Ureteral Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014567:Urography