Multicystic Dysplastic Kidney With Mass Effect in a Neonate Treated With Nephrectomy: Case Report

Authors

Samuel M. Pettit, Maine Medical Center Division of Urology, University of New England College of Osteopathic Medicine, Biddeford, ME. Electronic address: spettit2@une.edu.
William J. Devan, Maine Medical Center Division of Urology, Portland, ME.
David J. Chalmers, Maine Medical Center Division of Urology, Portland, ME.
Allison Zanno, Maine Medical Center Division of Neonatal-Perinatal Medicine, Portland, ME.

Document Type

Article

Publication Date

3-1-2021

Journal Title

Urology

MeSH Headings

Humans; Infant, Newborn; Male; Multicystic Dysplastic Kidney (surgery); Nephrectomy

Abstract

Multicystic Dysplastic Kidney is a developmental disease that results in a lobulated kidney of noncommunicating cysts and abnormal parenchymal tissue. Dysplastic kidneys are usually benign and often involute over time with conservative management. The second most common cause of palpable abdominal mass in a neonate, Multicystic Dysplastic Kidney can cause respiratory distress secondary to extrinsic compression. However, such cases are sparse. Here we present the case of an otherwise healthy term newborn with an exceptionally large MCDK requiring CPAP support and intubation. His respiratory distress improved immediately after nephrectomy. Communication about cases like this will inform management of future comparable cases.

Comments

William Devan- Resident

First Page

e11

Last Page

e14

Recommended Citation

Pettit SM, Devan WJ, Chalmers DJ, Zanno A. Multicystic Dysplastic Kidney With Mass Effect in a Neonate Treated With Nephrectomy: Case Report. Urology. 2021;149:e11-e14. doi:10.1016/j.urology.2020.11.050