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題名 | Multicystic Dysplastic Kidney with Contralateral Renal Hypoplasia Presenting with Renal Failure in a Newborn: A Case Report=發育不良性多囊腎合併對側腎臟發育不全於一新生兒出現腎衰竭:病例報告 |
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作者姓名(中文) | 廖培汾; 陳榮賓; 陳善銘; 李智芳; 許績男; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷期 | 21:2 2007.06[民96.06] |
頁次 | 頁138-142+168 |
分類號 | 417.517 |
關鍵詞 | 發育不良性多囊腎; 對側腎臟構造異常; 腎臟發育不全; 新生兒; 腎衰竭; Contralateral renal anomalies; Multicystic dysplastic kidney; Newborn; Renal failure; Renal hypoplasia; |
語文 | 英文(English) |
英文摘要 | Multicystic dysplastic kidney (MCDK) is the most common cystic kidney disease in children. Renal abnormalities occur in the contralateral kidney in 20-57% of cases. The prognosis of MCDK depends primarily on the status of the opposite kidney. We describe a case of unilateral MCDK and contralateral hypoplasia presenting with renal failure during the neonatal period. Abdominal ultrasound showed a multiple non-communicating cystic mass measuring 3.5×1.8 cm in the left kidney. The right kidney was small measuring 2.5×1.3 cm with increased echogenicity. (superscript 99m)Tc-mercaptoacetyltriglycine renal scintigraphy showed an absence of uptake and flow of the left kidney and a decreased uptake of the right kidney. At 1.5-year of follow up, the MCDK had a partial involution, and the patient had chronic renal failure with growth retardation. In conclusion, children with unilateral MCDK and contralateral renal hypoplasia may develop renal failure early in their lives. The optimal conservative treatment of MCDK patients with chronic renal failure requires close monitoring of each patient's clinical and laboratory status to slow the disease progression and to induce healthy growth. |
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