[Fetal multicystic kidney disease--outcome and follow up].
BACKGROUND
Congenital fetal anomalies are the great problem and one of the main causes of increased perinatal mortality and morbidity. The aim of this study is to determine the outcome of prenataly detected multicystic dysplastic kidney and to point to the necessity of postnatal diagnostic procedures.


METHODS
The retrospective-prospective study encompasses 38 cases of the prenatally diagnosed unilateral fetal multicystic dysplastic kidney. The associated anomalies were revealed either by autopsy findings when the pregnancy was terminated, or when the pregnancy continued, by clinical and operative findings the newborns.


RESULTS
The autopsy finding revealed bilateral multicystic displastic kidney or unilateral mylticystic displastic kidney and the agenesis of the contralateral kidney. The postnatal evaluation of the newborns with unilateral multicistic disease revealed that 84.3% of them had some concomitant anomaly of the urinary tract, most of them had an anomaly of the contralateral kidney (31.4%). The surgery was performed in 73.6% of children, in 17% of children the kidney function deteriorated after the surgery.


CONCLUSIONS
The findings of bilateral multicystic kidney disease and unilateral multicystic kidney disease and amnion are the indication to terminate the pregnancy. The finding of an isolated unilateral multicystic dysplastic kidney require thorough examination, both prenatally and postnatally. We propose obligatory serial prenatal ultrasound examinations, followed by postnatal ultrasound, isotope scan, and urinary cystourethography.
Ginekolosko-akuserska klinika, Klinicki centar Nis, Nis. sonjapoptrajkovic@gmail.com
Sonja
S
Pop-Trajković
Aleksandar
A
Ljubić
Vesna
V
Kopitović
Vladimir
V
Antić
Jelena
J
Milosević
Milan
M
Trenkić
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007668:Kidney / Q000002:abnormalities / Q000000981:diagnostic imaging; D021782:Multicystic Dysplastic Kidney / Q000000981:diagnostic imaging* / Q000601:surgery; D011247:Pregnancy; D016216:Ultrasonography, Prenatal