Chaubal Rajas, Pokhriyal Sindhu Chandra, Deshmukh Amol, Gupta Uma, Chaubal Nitin
Obstetrics and Gynaecology, Jaslok Hospital & Research Centre, Mumbai, IND.
Internal Medicine, One Brooklyn Health, New York, USA.
Cureus. 2023 Apr 18;15(4):e37786. doi: 10.7759/cureus.37786. eCollection 2023 Apr.
Multicystic dysplastic kidney (MCDK) is a congenital cystic kidney disease that can be incidentally seen during the antenatal ultrasound. The condition is most commonly asymptomatic. The clinical presentation is usually characterized by multiple small cysts or a single dominating cyst in the fetal kidney depending on the type of MCDK. Most cases undergo spontaneous involution, and complications like hypertension, infection, and malignancy are rare. We present the case of a young Primigravida who was diagnosed to have a fetus with unilateral MCDK in the second trimester and further followed up later in pregnancy as well as four months postnatally. The pregnancy was unremarkable, but for the diagnosis of MCDK in the second trimester; the infant was doing well at the four-month follow-up. Pre-natal ultrasound and MRI are able to diagnose MCDK reliably. Conservative management and follow-up is currently the most common protocol used to manage MCDK.
多囊性发育不良肾（MCDK）是一种先天性囊性肾病，可在产前超声检查时偶然发现。这种情况通常无症状。根据MCDK的类型，临床表现通常以胎儿肾脏中的多个小囊肿或单个主导囊肿为特征。大多数病例会自然消退，高血压、感染和恶性肿瘤等并发症很少见。我们报告了一例年轻初产妇的病例，她在孕中期被诊断出胎儿患有单侧MCDK，并在孕期后期以及产后四个月进行了进一步随访。除了孕中期诊断出MCDK外，孕期过程顺利；婴儿在四个月的随访中情况良好。产前超声和MRI能够可靠地诊断MCDK。目前，保守管理和随访是用于管理MCDK的最常见方案。
