PMID- 2238849
OWN - NLM
STAT- MEDLINE
DCOM- 19901218
LR  - 20041117
IS  - 0174-3082 (Print)
IS  - 0174-3082 (Linking)
VI  - 45
IP  - 4
DP  - 1990 Aug
TI  - Surgery in unilateral multicystic kidney.
PG  - 235-7
AB  - During a 15-year period 29 patients were treated for unilateral multicystic 
      kidney. The diagnosis was obtained from antenatal ultrasonography in 17 cases, 
      investigation of an abdominal mass at routine palpation in 10, UTI investigation 
      in 1 and uraemia investigation in 1. Eleven patients had associated 
      malformations. Further investigations included ultrasonography, intravenous 
      pyelography, micturition uretrocystography and in a few cases computed tomography 
      and Dimercapto-succinic acid (DMSA) scan. Percutaneous pyelography was performed 
      in 9 cases. Twenty-six children were operated on and 3 were not operated, of 
      which 1 with severe cardiac malformations, died. The age at operation was under 6 
      months in 14 cases and between 6 and 12 months in 8. Four children developed 
      hypertension preoperatively but the hypertension disappeared within 1 week 
      postoperatively in all cases. The indication for surgery in unilateral 
      multicystic kidney seems to be clear if the patient is symptomatic. In the 
      asymptomatic patient, the complications of a remaining multicystic kidney like 
      hypertension, malignancy, infection and pain suggest a surgical approach at 
      around 6 months of age.
FAU - Kullendorff, C M
AU  - Kullendorff CM
AD  - Department of Paediatric Surgery, University Hospital, Lund, Sweden.
LA  - eng
PT  - Journal Article
PL  - Germany
TA  - Z Kinderchir
JT  - Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und 
      der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and 
      childhood
JID - 8103794
SB  - IM
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Kidney/pathology
MH  - Male
MH  - *Nephrectomy
MH  - Polycystic Kidney Diseases/diagnosis/*surgery
MH  - Pregnancy
MH  - Tomography, X-Ray Computed
MH  - Ultrasonography, Prenatal
EDAT- 1990/08/01 00:00
MHDA- 1990/08/01 00:01
CRDT- 1990/08/01 00:00
PHST- 1990/08/01 00:00 [pubmed]
PHST- 1990/08/01 00:01 [medline]
PHST- 1990/08/01 00:00 [entrez]
AID - 10.1055/s-2008-1042589 [doi]
PST - ppublish
SO  - Z Kinderchir. 1990 Aug;45(4):235-7. doi: 10.1055/s-2008-1042589.