Autosomal recessive polycystic kidney disease - antenatal

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

G6P5 at 21 weeks gestation. Routine ultrasound.

Patient Data

Age: 40 years
Gender: Female

Echogenic enlarged kidneys with loss of the corticomedullary differentiation, and preserved reniform shape, containing numerous tiny cysts (size < 5mm) with associated severe oligohydramnios. The urinary bladder is not visualized, indicating most likely a lethal form of autosomal recessive polycystic kidney disease. 

Case Discussion

Ultrasound findings of an autosomal recessive polycystic kidney disease (ARPKD) with severe oligohydramnios.

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