Accuracy of antenatal fetal ultrasound in the diagnosis of duplex kidneys.

OBJECTIVES

To assess the accuracy of ultrasound diagnosis of duplex kidneys in the fetus and to identify prognostic features of antenatal sonography associated with this diagnosis.

METHODS

Retrospective identification of cases with an antenatal diagnosis of duplex kidney was made from computerized databases. Results of postnatal radiological investigations were obtained from the unit where delivery took place.

RESULTS

A total of 75% of cases seen in a multidisciplinary fetal renal clinic were correctly diagnosed as having a duplex kidney. Prognostic sonographic features are described. Detection of two separate poles or a ureterocele were strongly associated with a correct diagnosis. Accuracy was increased when two or more prognostic features were seen.

CONCLUSION

Accurate sonographic diagnosis of duplex kidneys in the fetus is possible in a dedicated multidisciplinary setting. Antenatal counseling and planning of postnatal care for the infant can be made with a high degree of certainty.