Özet:

INTRODUCTION: Multicystic dysplastic kidney (MCDK) is one of the most common developmental anomalies of the kidney and it has an incidence of approximately 1 in 4300 live births. The goal of our study was to review our follow-up procedure of children with MCDK through this study via comparison of outcomes with the literature. METHODS: Outcomes of 36 pediatric patients with antenatally detected unilateral MCDK were assessed. RESULTS: The compensatory renal hypertrophy of the contralateral kidney was seen in 94.4% of patients and mean complete involution time was 22.97±32.63 months. Four patients underwent nephrectomy because of hypertension resistant to medication in 2 patients and parental concern in 2 patients. Vesicoureteral reflux(VUR) was the most frequent anomaly detected in 5 (13.8%) patients. VUR were low grade in all patients and any scar was not detected on DMSA. DISCUSSION AND CONCLUSION: The results of our study showed that MCDK is a usually benign disease. Ultrasound is a noninvasive and cost effective method of choice in follow–up. A VCUG may not be routinely required in MCDK patients unless the renal US reveals suggestive of VUR or renal parenchymal defects.

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