Presentation
34 weeks gestational age fetus with abnormality seen in routine obstetric ultrasound. Severe oligohydramnios (AFI<2cm). AC: 40 weeks. BPD, HC and FL:34 weeks
Patient Data
Both kidneys are markedly enlarged and show increased parenchymal echo-pattern with decreased cortico-medullary differentiation. No stones or masses. No pelvicalyceal dilatation bilaterally.
The right kidney averages 8.5 x 5.6cm
The left kidney averages 8.4 x 4.7 cm
Diffuse bilateral renal tiny parenchymal cysts with increased parenchymal echo pattern, suggestive of autosomal recessive polycystic kidney disease.
Case Discussion
The findings are those of autosomal recessive polycystic kidney disease (ARPKD).