[Prenatal diagnosis of polycystic kidneys and Mullerian duplication. A case report].
Polycystic kidney disease is a common genetic cause of chronic kidney disease, characterized by the formation of multiple cysts in the kidneys and other organs, occurs in 1 in 20,000 live births. 30 to 50% of affected newborns die shortly after birth because of respiratory and renal insufficiency. This study reports the case of a newborn with polycystic kidney disease diagnosed by obstetric ultrasound at 26 weeks of gestation and kidneys anhidramnios due to increased volume and appearance "in sponge." Neonato a primigravida 19 years of age. At 26 weeks you will be detected in a routine obstetric evaluation that measures were in line for somatométricas fetal gestational age, and anhidramnios increase in renal mass and bilateral thorax narrow. The pregnancy ended in a cesarean section at 37 weeks with a newborn of 3140 g, women who died within minutes after birth. We requested an autopsy because of the need for genetic counseling. The findings were: enlarged kidneys with microcystic dilatation of collecting duct and in the renal cortex and medulla, liver fibrosis and Müllerian duplication with double uterine cavity. It is a rare association between polycystic kidney disease and Müllerian duplication, liver fibrosis confirmed by autopsy and has not been documented previously.
Torcida González
Miguel Eloy
ME
Unidad Médica de Alta Especialidad número 23, Instituto Mexicano del Seguro Social, Monterrey, NL, México.
Hernández Herrera
Ricardo J
RJ
Ochoa Torres
Mauro
M
Ramírez Sánchez
Luis Fernando
LF
D006801:Humans; D007231:Infant, Newborn; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D007690:Polycystic Kidney Diseases / Q000000981:diagnostic imaging*; D016216:Ultrasonography, Prenatal