Autosomal recessive polycystic kidney disease - antenatal

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

G3P2 at 18 weeks. Routine ultrasound.

Patient Data

Age: 40 years
Gender: Female

Enlarged kidneys, relatively echogenic, with loss of the corticomedullary differentiation. The reniform shape is preserved with associated oligohydramnios. The urinary bladder was not visualized which may indicate a lethal form of autosomal recessive polycystic kidney disease. 

No other fetal anomalies were seen.

Case Discussion

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

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