ESPN 51th Annual Meeting

ESPN 2018


 
MULTICYSTIC DYSPLASTIC KIDNEY IN CHILDREN: SINGLE-CENTER EXPERIENCE
OZLEM YUKSEL AKSOY 1 SENEM MUT 2 ZEHRA AYDIN 1 FATMA SEMSA CAYCI 1 UMUT SELDA BAYRAKCI 1

1- ANKARA CHILDRENS HEALTH, HEMATOLOGY-ONCOLOGY TRAINING AND RESEARCH HOSPITAL, DEPARTMENT OF PEDIATRIC NEPHROLOGY
2- ANKARA CHILDRENS HEALTH, HEMATOLOGY-ONCOLOGY TRAINING AND RESEARCH HOSPITAL, DEPARTMENT OF PEDIATRICS
 
Introduction:

 Multicystic dysplastic kidney (MCDK) is a common cause of pediatric renal cystic disease. MCDK is usually unilateral and the cysts are formed in utero. The records of the patients who were followed up with diagnosis of MCDK disease were retrospectively reviewed. It is aimed to evaluate the clinical features, course of the disease, complications and the treatment  approaches.

Material and methods:

 The study group consisted of patients who were diagnosed with MCDK between January 2011 and January 2017 in our center. Patient records were evaluated for history, physical examination, laboratory results, imaging and follow-up.

Results:

 Twenty-seven patients followed-up with the diagnoses of MCDK were included in the study. Twelve (44.4%) patients were female, 15 (55.6%) patients were male. Median age of the patients were 3 months. Mean follow-up time was 41.32 ±18.27 months. The maximum diameter of the renal cyst at the last control decreased significantly compared to baseline in MCDK group (p=0.012). In affected kidneys, kidney sizes decreased significantly between first and last visits (p=0.03). In the follow-up it is seen that multicystic dysplastic kidneys were completely involuted in seven of 27 (25.9%) patients. Vesicoureteral reflux (VUR) was detected in five patients (18%), grade 1 in three of the patients, grade 4 and 5 in others. Two (7%) patients were followed with hypertension. One (3%) patient had chronic kidney failure. Eight (29%) patients had anemia. 

Conclusions:

 MCDK could be associated with VUR, hypertension and even chronic kidney failure. Differential diagnosis and follow-up are important to prevent complications.