CASE 280: FETUS ONE KIDNEY in HYDRONEPHROSIS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman in pregnancy  31 yo  PARA 2002. First time cesarian delivery, but  now  check for the second delivery. Prenatal ultrasound that  detected  oligoamniotic  and  but fetus having only one right hydronephrosis [see image US 1, US 2 ].

Urinary bladder was  normal and cannot find out the left fetal kidney (US 3 video  showed the facial fetus and  his nose and mouth  in normal respiration).

Fetal MRI  made sure that  only one abnormal  right fetal kidney, small and cannot find out the left fetal kidney [see MRI 1, frontal section  MRI 2  section, MRI 3, sagital section, MRI 4.)

Prenatal 36 weeks  detected  renal  malformation  with agenesis of kidney.

DISCUSSION:

In this case,  fetus has only one  kidney  in  hydronephrosis.

The mother  has to undergo a cesarian deliverying  and  strict  survey the neonate, and if  the  hydronephrosis is  still progressing, an emergency  endostent by JJ is method for  reduction of intrarenal pressure.

It is  look like  POTT SYNDROME, this  baby needs   DNA gene examination.