Cystic Renal Disease of Childhood
|
|
- Barry Chandler
- 5 years ago
- Views:
Transcription
1 Acta Radiológica Portuguesa, Vol.XIX, nº 74, pág , Abr.-Jun., 2007 Cystic Renal Disease of Childhood Ellen Chung Armed Forces Institute of Pathology Terminology Cyst Polycystic kidney disease ARPKD and ADPKD only Multicystic kidney Calyceal Diverticulum Cyst that communicates with collecting system Need contrast study to distinguish from cyst Urine stasis leads to infection and stone formation Look for stone in tic on US, KUB, or non-con CT Delayed images show contrast-filling of the cyst and a neck Treatment surgical ablation if symptomatic Genetically-based Classification 2 Nongenetic Multicystic dysplasia Multilocular cyst (tumor) Simple cyst/calyceal diverticulum Medullary sponge kidney Acquired cystic disease Genetic Autosomal recessive polycystic kidneys Autosomal dominant polycystic kidneys Juvenile nephronophthisis (AR)-medullary cystic disease (AD) complex Cysts associated with multiple malformation syndromes 2 Glassberg KI, Stephens FC, Lebowitz RL, et al. Renal dysgenesis and cystic disease of the kidney: a report of the Committee on Terminology, Nomenclature and Classification, Section on Urology, American Academy of Pediatrics. J Urol 1987, Oct; 138:1085 Simple Renal Cyst Observed on PNUS screen for malformation syndrome US criteria for simple cyst no further imaging unless recurrent symptoms of infection Otherwise CT to exclude tumor No treatment unless symptomatic or obstructing collecting system ARP 99
2 Medullary Sponge Kidney Congenital focal dilation of collecting tubules usualllly presenting in adulthood Associated with stones or infection but may be found incidentally Usually bilateral Medullary nephrocalcinosis radially aligned Streaky linear densities in involved pyramids US may show calcifications before plain film Multicystic Dysplastic Kidney Most common form of cystic renal disease in infants and children Most common cause of renal mass in first week of life Rarely bilateral Due to early severe in utero obstruction Extreme end of spectrum of UPJO Multicystic Dysplastic Kidney Risk of abnormality of contralateral kidney 20-50% Negligible renal function Nodular blastemal elements in 3-5% - risk of Wilms tumor Acquired Renal Cysts AIDS Hemo- and peritoneal dialysis Increase in number and size with length of time on dialysis Complications intracyst or subcapsular or perinephric hemorrhage MCDK - Presentation PNUS Neonate with abdominal mass Incidentally in older child mimics agenesis 100 ARP
3 MCDK Gross Pathology Macrocysts of variable size Randomly distributed Cysts do not communicate Hydronephrotic variant large central cyst Rarely segmental upper pole of duplex or lower crossed fused ectopic No identifiable normal parenchyma Associated atresia of ureter or infundibulopelvis MCDK - Imaging Large mass with cysts of varying sizes scattered throughout Cysts do not communicate Hydronephrotic type large central cyst but no identifiable parenchyma No identifiable cortex or medulla Nonreniform shape Nuclear renogram no significant excretion VCUG 25% VUR MCDK - DDx Multilocular cystic kidney A tumor Cysts within the intervening septa Severe hydronephrosis UPJO Nuclear renogram Contralateral kidney also affected MCDK - Histopathology Histologic hallmark presence of immature dysplastic-appearing tubules surrounded by collarettes of PAS-staining condensed mesenchyme Cysts of varying size formed by dilated, dysplastic tubules Cysts can occur in any part of the nephron High nuclear to cytoplasmic ratio dysplasia MCDK Course and Prognosis Natural history of a true MCDK is to resolve Formerly these were all removed due to rare reports of nephroblastoma1 Now followed to resolution If they do not resolve, surgical removal is indicated to prevent complications of infection and neoplasm 1 Strife JL, Souza AS, Kirks DR, Strife CF, Gelfand MJ, Wacksman J. Multicystic dysplastic kidney in children: US follow-up. Radiology Mar;186(3): ARP 101
4 ARPKD Pathology - Kidneys Large kidneys Cysts are dilated collecting tubules predominantly in the medulla Dilated (1-2mm) tubules arranged in a fan-shape Cortex relatively spared No dysplasia On cut section, cortex and medulla unrecognizable Few coalescent macrocysts Autosomal Recessive Polycystic Kidney Disease (ARPKD) Kidneys and liver ectasia and fibrosis Kidneys ectasia of the collecting tubules Liver biliary duct ectasia and periportal fibrosis Latter develops in early childhood Degrees of renal and liver involvement are inversely proportional and determine age of presentation and prognosis ARPKD Pathology- Liver All associated with congenital hepatic fibrosis = ductal plate malformation Dilation of interlobular bile ducts associated with a variable amount of portal fibrosis (Caroli syndrome) All portal areas are expanded and contain dilated ducts at the periphery with blood vessels in the middle Sinusoidal portal hypertension ARPKD Spectrum of Presentation Blyth and Ockenden Clinical Classification 1 Perinatal bilateral nephromegaly, Potter syndrome, death in first week Neonatal present in first month, death by 1 year Infantile present at 3-6 mo Juvenile - presentation in first decade Portal hypertension Incidental finding on US Presentation in second decade with renal failure 1 Blyth H, Ockenden BG. Polycystic disease of kidney and liver presenting in childhood. J Med Genet Sep;8(3): ARP
5 ARPKD - Ultrasound Large kidneys with increased echogenicity in the medulla due to multiple accoustic interfaces of dilated, ectatic ducts May mimic nephrocalcinosis Compressed, spared cortex may form relatively dark rim Poor delineation of cortex, medulla, sinus ARPKD Plain Film Bilateral flank masses in newborns Small, bell-shaped thorax Pneumothorax Older children may have slightly enlarged kidneys, hepatosplenomegaly, and/or ascites ARPKD - Ultrasound High frequency linear transducer may resolve tubular structures in fan-like array or tiny cysts Occasional macrocysts Those who present as children have milder renal findings normal or mild nephromegaly, +/- increased echogenicity of medulla, loss of corticomedullary differentiation Ultrasound - Liver Increased echogenicity +/- ductal ectasia in older children Portal radicals surrounded by bile ducts Splenomegaly, varices, and ascites may also be seen in older children ARP 103
6 ARPKD - Other Imaging Imaging beyond US is rarely necessary Spoke-wheel or striated appearance of nephrogram Prolonged nephrographic phase Calyces compressed, separated and distorted In older children, mild tubular ectasia similar to medullary sponge kidney MR - few cysts in about half of patients ARPKD - Prognosis Infantile poor prognosis due to renal insufficiency and pulmonary hypoplasia Outcome in childhood is better than previously thought Early recognition and management are important Differential Diagnosis Large Echogenic Kidneys in Neonate ARPKD ARPKD ARPKD Glomerulocystic disease ADPKD Glomerulocystic Disease Rare, sporadic or heritable (AD) May be found in some patients with malformative syndromes Occasionally found in children with family history of ADPKD 104 ARP
7 Glomerulocystic Disease Clinical Features Present early with renal failure and palpable abdominal masses Renal function normal but deteriorates with age Glomerulocystic Disease Pathology Cystic dilation of Bowman capsule and proximal convoluted tubule Periportal fibrosis, bile duct hyperplasia and hepatic cysts may also be found Autosomal Dominant Polycystic Kidney Disease (ADPKD) Much more common than AR, BUT NOT IN CHILDREN Three genetic loci PKD1-3 Family screening routine Spontaneous mutations frequent Cysts become larger and more numerous with age Autosomal Dominant Polycystic Kidney Disease (ADPKD) Cysts not usually seen in 1st and 2nd decades but can be seen in neonates screened for positive family history Affects multiple organs kidneys, liver, pancreas, spleen, seminal vesicles, ovaries Association with occult intracranial aneurysms screen in adulthood Glomerulocystic Disease Ultrasound Echogenic normal-sized to enlarged kidneys Poor corticomedullary differentiation Tiny cysts may be seen in cortex (vs. ARPKD) ADPKD - Presentation Present in 4th-5th decade with hypertension and renal failure Does not present in childhood but may be found incidentally or secondary to flank pain due to bleeding into cyst Rarely presents in infancy minimal cysts in enlarged, echogenic kidneys ARP 105
8 ADPKD - Pathology Enlarged but reniform kidneys Cysts of varying size scattered throughout the kidney (cortex and medulla) Usually bilateral but may be asymmetric or even unilateral Abnormality of the ampullary and interstitial portions of the collecting tubules and nephrons Hepatic fibrosis is rare Medullary Cystic Disease Complex Juvenile nephronophthisis AR, presents in first decade Medullary cystic disease AD, presents in 3rd decade Polydypsia, polyuria, salt wasting, severe anemia Progressive renal failure Growth retardation ADPKD - Ultrasound Infantile presentation small, spherical cysts on high resolution US (vs. fan-like, tubular appearance in AR) Older children - cysts of varying size in cortex and medulla Can be unilateral at presentation Normal size or slightly enlarged Look for cysts in liver and pancreas Medullary Cystic Disease Complex Pathology <1.5 cm cysts that increase in size and number with age Cysts in medulla or subcortical region - 70% of patients Secondary glomerulosclerosis small, fibrotic kidneys Associated retinitis pigmentosa, hepatic fibrosis, skeletal defects and CNS abnormalities in familial juvenile form ADPKD - Prognosis Most develop renal failure in 4th-5th decade Presentation in infancy more severe renal cystic disease, more hypertension, more rapid progression to renal failure than adult relatives Medullary Cystic Disease Complex Imaging Small echogenic kidneys Multiple small medullary or corticomedullary cysts may not be present when very young 106 ARP
9 Cysts Associated with Syndromes Zellweger - cerebrohepatorenal syndrome AR, lethal peroxisomal deficiency Meckel-Gruber AR, posterior encephalocele, polydactyly, cystic kidneys, congenital hepatic fibrosis Beckwith-Wiedemann syndrome macroglossia, visceromegaly and omphalocele, Wilms tumor, also medullary cysts in 13-19% Cysts Associated with Syndromes Turner Down s Orofaciodigital Jeune, short rib polydactyly TS cortical cysts 33-50% VHL multifocal cystic adenocarcinomas in 45% after 3rd decade ARP 107
Renal Cystic Disease. Dr H Bierman
Renal Cystic Disease Dr H Bierman Objectives Be able to diagnose renal cystic disease Genetic / non-genetic Be able to describe patterns of various renal cystic disease on routine imaging studies Be able
More informationCystic Renal Disease, for USMLE Step One. Howard J. Sachs, MD
Cystic Renal Disease, for USMLE Step One Howard J. Sachs, MD www.12daysinmarch.com The Major Players Medullary Sponge Kidney (MSK) Polycystic Kidney Disease (PKD) Autosomal Recessive: Childhood Autosomal
More informationTubulointerstitial Renal Disease. Anna Vinnikova, MD Division of Nephrology
Tubulointerstitial Renal Disease Anna Vinnikova, MD Division of Nephrology Part I: Cystic Renal Disease www.pathguy.com Simple cysts Simple cysts May be multiple Usually 1 5cm, may be bigger Translucent,
More informationPediatric Retroperitoneal Masses Radiologic-Pathologic Correlation
Acta Radiológica Portuguesa, Vol.XVIII, nº 70, pág. 61-70, Abr.-Jun., 2006 Pediatric Retroperitoneal Masses Radiologic-Pathologic Correlation Marilyn J. Siegel Mallinckrodt Institute of Radiology, Washington
More informationCYSTIC DISEASES of THE KIDNEY. Dr. Nisreen Abu Shahin
CYSTIC DISEASES of THE KIDNEY Dr. Nisreen Abu Shahin 1 Types of cysts 1-Simple Cysts 2-Dialysis-associated acquired cysts 3-Autosomal Dominant (Adult) Polycystic Kidney Disease 4-Autosomal Recessive (Childhood)
More informationObstetrics Content Outline Obstetrics - Fetal Abnormalities
Obstetrics Content Outline Obstetrics - Fetal Abnormalities Effective February 2007 10 16% renal agenesis complete absence of the kidneys occurs when ureteric buds fail to develop Or degenerate before
More informationFetal Renal Malformations: The Role of Ultrasound in Diagnosis & Management
Fetal Renal Malformations: The Role of Ultrasound in Diagnosis & Management 12 weeks Alfred Abuhamad, M.D. Eastern Virginia Medical School 13 weeks 2nd trimester Medullary pyramids Renal Sinus Cortex 2nd
More informationChapter 6: Genitourinary and Gastrointestinal Systems 93
Chapter 6: Genitourinary and Gastrointestinal Systems 93 Chapter 6 Genitourinary and Gastrointestinal Systems Embryology Three sets of excretory organs or kidneys develop in human embryos: Pronephros:
More informationRadiological and pathologic findings of fetal renal cystic diseases and associated fetal syndromes: A pictorial review
Radiological and pathologic findings of fetal renal cystic diseases and associated fetal syndromes: A pictorial review Poster No.: C-2835 Congress: ECR 2010 Type: Educational Exhibit Topic: Pediatric Authors:
More informationAutosomal Dominant Polycystic Kidney Disease
Case Studies [1] July 01, 2014 By Amar Udare, MBBS [2] Case History: 45-year-old female with vague pain in the abdomen. Case History: A 45-year-old female presented with vague pain in the abdomen. A USG
More informationDr. Najla a Aldaoud. Omar Ayman Khasawneh
Pathology 1 Congenital & Cystic diseases of the kidney Dr. Najla a Aldaoud Omar Ayman Khasawneh 1 P a g e Slides are included بسم هللا الرحمن الرحيم Today is our first pathology lectures, Dr Najla' will
More informationGU Ultrasound in First Trimester
Fetal Renal Malformations: The Role of Ultrasound in Diagnosis & Management Outline 1. Renal Anomalies Urinary Tract Dilation Aberrant Early Development Defects Terminal Maturation Alfred Abuhamad, M.D.
More informationGenitourinary Radiology In-Training Test Questions for Diagnostic Radiology Residents
Genitourinary Radiology In-Training Test Questions for Diagnostic Radiology Residents March, 2013 Sponsored by: Commission on Education Committee on Residency Training in Diagnostic Radiology 2013 by American
More informationRENAL SCINTIGRAPHY IN THE 21 st CENTURY
RENAL SCINTIGRAPHY IN THE 21 st CENTURY 99m Tc- MAG 3 with zero time injection of Furosemide (MAG 3 -F 0 ) : A Fast and Easy Protocol, One for All Indications Clinical Experience Congenital Disorders PROTOCOL
More informationGenetics in Nephrology. Saeid Morovvati Associate Professor of BMSU Director of Biogene Laboratory
Genetics in Nephrology Saeid Morovvati Associate Professor of BMSU Director of Biogene Laboratory Genetics in: A. Congenital Anomalies of the Kidney and Urinary Tract B. Cystic Diseases of the Kidney C.
More informationCongenital Pediatric Anomalies: A Collection of Abdominal Scintigraphy Findings: An Imaging Atlas
ISPUB.COM The Internet Journal of Nuclear Medicine Volume 5 Number 1 Congenital Pediatric Anomalies: A Collection of Abdominal Scintigraphy Findings: An Imaging Atlas V Vijayakumar, T Nishino Citation
More informationExcretory urography (EU) or IVP US CT & radionuclide imaging
Excretory urography (EU) or IVP US CT & radionuclide imaging MRI arteriography studies requiring catherization or direct puncture of collecting system EU & to a lesser extent CT provide both functional
More informationClinical characterization of polycystic kidney diseases in infants and children
Clinical characterization of polycystic kidney diseases in infants and children Thesis Submitted for partial fulfillment of the M.Sc degree in Pediatrics Submitted by Ahmed Ibrahim Abulkhir Khayyal Under
More informationDevelopmental Abnormalities of the Kidneys and GU System
A5 Developmental Abnormalities of the Kidneys and GU System Erin Parilla, MD Neonatologist Pediatrix Medical Group, Tampa, FL The speaker has signed a disclosure form and indicated she has no significant
More informationKidney & Urinary Tract Ultrasound. Fatina Fadel Hafez Bazaraa
Kidney & Urinary Tract Ultrasound Fatina Fadel Hafez Bazaraa Ultrasonography Ultrasound Available Rapid Inexpensive Painless & no sedation needed No adverse effects/ complications Can be repeated Useful
More informationCongenital Lung Malformations: Radiologic-Pathologic Correlation
Acta Radiológica Portuguesa, Vol.XVIII, nº 70, pág. 51-60, Abr.-Jun., 2006 Congenital Lung Malformations: Radiologic-Pathologic Correlation Marilyn J. Siegel Mallinckrodt Institute of Radiology, Washington
More informationFetal Urologic Anomalies
Fetal Urologic Anomalies Kathryn Drennan, MD Elizabeth McKinney, MD MultiCare Regional Maternal-Fetal Medicine What you should know They are common Account for 15%-20% of all congenital anomalies Associated
More informationAutosomal Recessive Polycystic Kidney Disease: Issues Regarding the Variability of Clinical Presentation1
EDITORIAL COMMITTEE Tomas Berl. Editor William Heinrich Mark Paller Fred Silva Denver. CO Dallas. TX Minneapolis. MN Oklahoma City. OK DESCRIPTION OF THE NEPHROLOGY TRAINING PROGRAM AT THE UNIVERSITY OF
More informationRenal tumors of adults
Renal tumors of adults Urinary Tract Tumors 2%-3% of all cancers in adults. The most common malignant tumor of the kidney is renal cell carcinoma. Tumors of the lower urinary tract are twice as common
More informationImaging in cystic renal disease
Arch Dis Child 2000;83:401 407 401 CURRENT TOPIC Department of Radiology, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London WC1N 3JH, UK RdeBruyn I Gordon Correspondence
More informationUrinary system Ultrasound (Renal & Urinary bladder)
Urinary system Ultrasound (Renal & Urinary bladder) Edited & Presented by ; Hussien A.B ALI DINAR. Msc.Phd ISRRT Associate Member Lecturer (National university) Reporting Sonographer (PHC) Objective By
More informationUrinary Tract Abnormalities
Urinary Tract Abnormalities Dr Hennie Lombaard Senior Specialist Maternal and Fetal Medcine Department of Obstetrics and Gynecology Level 7 Pretoria Academic Hospital Pictures from The 18 to 23 weeks scan
More informationKristina M. Nowitzki, M.D., Ph.D. and Hao S. Lo, M.D. University of Massachusetts Medical School, Worcester, MA
Kristina M. Nowitzki, M.D., Ph.D. and Hao S. Lo, M.D. University of Massachusetts Medical School, Worcester, MA Outline I. Introduction highlighting normal renal enhancement physiology including normal
More informationAdvanced Concept of Nursing- II UNIT-VI Advance Nursing Management of Genitourinary (GU) Diseases.
In The Name of God (A PROJECT OF NEW LIFE COLLEGE OF NURSING KARACHI) Advanced Concept of Nursing- II UNIT-VI Advance Nursing Management of Genitourinary (GU) Diseases. Shahzad Bashir RN, BScN, DCHN,MScN
More informationWilms' tumour and renal dysplasia: an hypothesis
J Clin Pathol 1982;35:1069-1073 Wilms' tumour and renal dysplasia: an hypothesis HB MARSDEN, W LAWLER* From the Royal Manchester Children's Hospital, Manchester M27 I HA and the *Department of Pathology,
More informationKidneycentric. Follow this and additional works at:
Washington University School of Medicine Digital Commons@Becker All Kidneycentric 2014 Renal Dysplasia Halana V. Whitehead Washington University School of Medicine in St. Louis Follow this and additional
More informationRole of imaging in RCC. Ultrasonography. Solid lesion. Cystic RCC. Solid RCC 31/08/60. From Diagnosis to Treatment: the Radiologist Perspective
Role of imaging in RCC From Diagnosis to Treatment: the Radiologist Perspective Diagnosis Staging Follow up Imaging modalities Limitations and pitfalls Duangkamon Prapruttam, MD Department of Therapeutic
More informationURINARY SYSTEM I. Kidneys II. Nephron Unit and Urine Formation
URINARY SYSTEM I. Kidneys A. Location and Structure 1. Retroperitoneal 2. Between T12 and L3 3. Rt. kidney slightly lower 4. Two bean shaped organs 5. Adrenal gland 6. Internal construction a. Renal cortex
More informationFunctions of the kidney:
Diseases of renal system : Normal anatomy of renal system : Each human adult kidney weighs about 150 gm, the ureter enters the kidney at the hilum, it dilates into a funnel-shaped cavity, the pelvis, from
More informationUltrasound examination of fetuses with cystic renal changes or hyperechoic kidneys includes assessment of [1]:
Official reprint from UpToDate www.uptodate.com 2017 UpToDate Prenatal sonographic diagnosis of cystic renal disease Author: Tulin Ozcan, MD Section Editors: Louise Wilkins-Haug, MD, PhD, Deborah Levine,
More informationThe functional anatomy of the urinary system. Human Anatomy Department Dr. Anastasia Bendelic
The functional anatomy of the urinary system Human Anatomy Department Dr. Anastasia Bendelic Plan Development of the kidneys and their abnormalities Development of the urinary ways and their abnormalities
More informationNephrology Case Presentation for PCKD. Douglas A. Stahura 24 January 2002 With update 2018
Nephrology Case Presentation for PCKD Douglas A. Stahura 24 January 2002 With update 2018 Case Presentation l 48 y/o WM presents with back pain Sharp, over L side/ribs Intermittent but severe 8/10 No radiation
More informationCTA/MRA of Pediatric Hepatic Masses Radiology-Pathology Correlation
Acta Radiológica Portuguesa, Vol.XVIII, nº70, pág. 41-50, Abr.-Jun., 2006 CTA/MRA of Pediatric Hepatic Masses Radiology-Pathology Correlation Marilyn J. Siegel Mallinckrodt Institute of Radiology, Washington
More informationWilms Tumor and Neuroblastoma
Wilms Tumor and Neuroblastoma Wilm s Tumor AKA: Nephroblastoma the most common intra-abdominal cancer in children. peak incidence is 2 to 3 years of age Biology somatic mutations restricted to tumor tissue
More informationKidneys and Urinary Tract Content Outline. Anatomy Coverings. Location. (Effective February 2007) (16%-24%)
Kidneys and Urinary Tract Content Outline (Effective February 2007) (16%-24%) Anatomy Coverings true capsule perirenal fat surrounds capsule Gerota s fascia separates perirenal from extraperitoneal fat
More informationGuidelines, Policies and Statements D5 Statement on Abdominal Scanning
Guidelines, Policies and Statements D5 Statement on Abdominal Scanning Disclaimer and Copyright The ASUM Standards of Practice Board have made every effort to ensure that this Guideline/Policy/Statement
More informationWhat s your diagnosis? Malori Marotz. Squirt, an 8month old mix breed puppy. History:
What s your diagnosis? Malori Marotz Squirt, an 8month old mix breed puppy History: The owner obtained squirt at 12 weeks of age. The owner reported that Squirt was passing soft stools lately and he is
More informationthe urinary system pathology Dr. Fairoz A Eltorgman
the urinary system pathology Dr. Fairoz A Eltorgman Tumors of the renal pelvis & kidney Benign tumors of the renal pelvis: Hemangioma Leiomyoma Malignant tumors: Transitional cell carcinoma Squamous cell
More informationISUOG Basic Training. Distinguishing between Normal & Abnormal Appearances of the Urinary Tract. Seshadri Suresh, India
ISUOG Basic Training Distinguishing between Normal & Abnormal Appearances of the Urinary Tract Seshadri Suresh, India Learning objectives 13 & 14 At the end of the lecture you will be able to: describe
More informationJournal of Nephropathology
www.nephropathol.com DOI: 10.15171/jnp.2017.60 J Nephropathol. 2017;6(4):363-367 Journal of Nephropathology Rapidly progressive nephromegaly in a neonate with autosomal recessive poly cystic kidney disease
More informationCONGENITAL ANOMALIES UROLOGY SUB DIVISION DEPARTMENT OF SURGERY MEDICAL SCHOOL UNIVERSITY OF SUMATERA UTARA
CONGENITAL ANOMALIES UROLOGY SUB DIVISION DEPARTMENT OF SURGERY MEDICAL SCHOOL UNIVERSITY OF SUMATERA UTARA UPPER URINARY TRACT Abnormalities of the kidney position & number 1. Simple ectopia 2. Thoracic
More informationAcute flank pain in children: Imaging considerations
Acute flank pain in children: Imaging considerations Carlos J. Sivit MD Rainbow Babies and Children s Hospital Case Western Reserve School of Medicine Flank pain Results from distention of ureter or renal
More informationCase 7729 Child with choledochal cyst presenting with episodes of vomitting and jaundice
Case 7729 Child with choledochal cyst presenting with episodes of vomitting and jaundice dos Santos R 1, Almeida J 1, Mendes PP 2, Pereira S 3, Borges C 3, Soares E 4. 1) Radiology resident, 2) Radiology
More informationBody MRI from the Liver to the Bladder
Body MRI from the Liver to the Bladder I Want You! Audience Participation Methodist Hospital Continuing Education Seminar Jordan Swensson, MD November 7, 2015 Objectives Observe the uses of MRI for organs
More information27-Apr-15 1 UAF ANOMALIES OF DEVELOPMENT RENAL SYSTEM - 1 DR. MUHAMMAD TARIQ JAVED UAF UAF
RENAL SYSTEM - 1 DR. MUHAMMAD TARIQ JAVED Professor, Department of Pathology, Faculty of Veterinary Science, University of Agriculture, Faisalabad, Pakistan. Email: mtjaved@uaf.edu.pk RENAL AGENESIS Renal
More informationRadiology of hepatobiliary diseases
GI cycle - Lecture 14 436 Teams Radiology of hepatobiliary diseases Objectives 1. To Interpret plan x-ray radiograph of abdomen with common pathologies. 2. To know the common pathologies presentation.
More informationTumors of kidney and urinary bladder
Tumors of kidney and urinary bladder Overview of kidney tumors Benign and malignant Of the benign: papillary adenoma -cortical -small (0.5cm) -in 40% of population -clinically insignificant The most common
More informationNephrographic and Pyelographic Analysis of CT Urography: Principles, Patterns, and Pathophysiology
Genitourinary Imaging Review Wolin et al. CT Urography Principles, Patterns, and Genitourinary Imaging Review FOCUS ON: Ely A. Wolin 1 David S. Hartman J. Ryan Olson Wolin EA, Hartman DS, Olson JR Keywords:
More informationAn Autopsy Case of Infantile Polycy. Citation Acta medica Nagasakiensia. 1977, 22
NAOSITE: Nagasaki University's Ac Title An Autopsy Case of Infantile Polycy Author(s) Morinaga, Hidetaka; Shimomura, Mamo Citation Acta medica Nagasakiensia. 1977, 22 Issue Date 1977-10-25 URL http://hdl.handle.net/10069/15599
More informationImaging Ejaculatory Disorders and Hematospermia
ATHENS 4-6 October 2018 European Society of Urogenital Radiology Imaging Ejaculatory Disorders and Hematospermia Parvati Ramchandani, MD Professor, Radiology and Surgery University of Pennsylvania Medical
More informationCongenital Disorders of the Canine and Feline Biliary Tree
Congenital Disorders of the Canine and Feline Biliary Tree John M. Cullen VMD PhD DACVP FIATP 1 Annual Seminar of the French Society of Veterinary Pathology 2 Embryonic Liver 3 Cytokeratin 7 Ductal Plate
More informationKidney Disorders. Renal cysts. Policystic Kidney Diseases. Cystic Renal Dysplasia. Autosomal-Dominant (Adult) Polycystic
Policystic Kidney Diseases Kidney Disorders CONGENITAL CYSTIC GLOMERULAR TUBULES/INTERSTITIUM BLOOD VESSELS OBSTRUCTION TUMORS Lecture : Genito-urinary system. 11 08 2010. Renal cysts Cystic Renal Dysplasia
More informationUS in non-traumatic acute abdomen. Lalita, M.D. Radiologist Department of radiology Faculty of Medicine ChiangMai university
US in non-traumatic acute abdomen Lalita, M.D. Radiologist Department of radiology Faculty of Medicine ChiangMai university Sagittal Orientation Transverse (Axial) Orientation Coronal Orientation Intercostal
More informationAnatomy of the biliary tract
Harvard-MIT Division of Health Sciences and Technology HST.121: Gastroenterology, Fall 2005 Instructors: Dr. Jonathan Glickman Anatomy of the biliary tract Figure removed due to copyright reasons. Biliary
More informationAdrenal masses in infancy and childhood: A clinical and radiological overview M. Mearadji
Adrenal masses in infancy and childhood: A clinical and radiological overview M. Mearadji International Foundation for Pediatric Imaging Aid Introduction Neoplastic adrenal masses usually originate from
More informationCYSTIC TUMORS OF THE KIDNEY JOHN N. EBLE, M.D. CYSTIC NEPHROMA
Page 1 CYSTIC TUMORS OF THE KIDNEY JOHN N. EBLE, M.D. Department of Pathology & Laboratory Medicine Phone (317) 274-4806 Medical Science A-128 FAX: (317) 278-2018 635 Barnhill Drive jeble @iupui.edu Indianapolis,
More informationMy Patient Has Abdominal Pain PoCUS of the Biliary Tract and the Urinary Tract
My Patient Has Abdominal Pain PoCUS of the Biliary Tract and the Urinary Tract Objectives PoCUS for Biliary Disease PoCUS for Renal Colic PoCUS for Urinary Retention Biliary Disease A patient presents
More informationSex: 女 Age: 51 Occupation: 無 Admission date:92/07/22
Sex: 女 Age: 51 Occupation: 無 Admission date:92/07/22 Chief complaint Unknown fever for one month Hand tremor and left huge renal tumor was noted Present illness Suffered from fever for one month, hand
More informationCLINICS IN DIAGNOSTIC IMAGING (18)
I R DÏOLOGICAL, CASE j CLINICS IN DIAGNOSTIC IMAGING (18) K L Chan, K W Chan, W C G Peh SINGAPORE MED J 1996; Vol 37: 536-540 CASE REPORT A one-year three-month old boy was incidentally noted to have a
More informationAbdomen and Retroperitoneum Ultrasound Protocols
Abdomen and Retroperitoneum Ultrasound Protocols Reviewed By: Anna Ellermeier, MD Last Reviewed: March 2018 Contact: (866) 761-4200, Option 1 **NOTE for all examinations: 1. If documenting possible flow
More informationInternational Journal of Pharma and Bio Sciences. Meckel-Gruber Syndrome Associated with CNS Malformations A Case Report
International Journal of Pharma and Bio Sciences RESEARCH ARTICLE PATHOLOGY Meckel-Gruber Syndrome Associated with CNS Malformations A Case Report Corresponding Author DR. N. HIMA BINDU Assistant Professor,
More informationThe Child With An Abdominal Mass
The Child With An Abdominal Mass Today we are going to talk about pediatric surgery, the abdominal masses in children. Firstly we have to take a full history and make a general, local and rectal examination
More informationClinicopathologic Conference
Participants: Mohammed Akhtar, MD*, Nabil Bissada, MD and William Cumming, MD Editor. John T. Godwin, MD, FCAP * Director, Electron Microscopy Section, Department of Pathology and Laboratory Medicine;
More informationIndex. Note: Page numbers of article titles are in boldface type.
Magn Reson Imaging Clin N Am 12 (2004) 587 591 Index Note: Page numbers of article titles are in boldface type. A Adenoma(s), adrenal, gadolinium-enhanced MR imaging in, 533 534 hyperfunctioning versus
More informationPediatric Hepatobiliary, Pancreatic & Splenic US
Pediatric Hepatobiliary, Pancreatic & Splenic US Susan J. Back, MD Department of Radiology, The Children s Hospital of Philadelphia No Disclosures Objectives Normal Abnormal: cases and US advances Objectives
More informationSpectrum of Preneoplastic and Neoplastic Cystic Lesions of the Kidney in Adult. by dr. Banan Burhan Mohammed Lecturer in Pathology Department
Spectrum of Preneoplastic and Neoplastic Cystic Lesions of the Kidney in Adult by dr. Banan Burhan Mohammed Lecturer in Pathology Department Various hereditary, acquired, and neoplastic conditions can
More informationProceedings of the 34th World Small Animal Veterinary Congress WSAVA 2009
www.ivis.org Proceedings of the 34th World Small Animal Veterinary Congress WSAVA 2009 São Paulo, Brazil - 2009 Next WSAVA Congress : Reprinted in IVIS with the permission of the Congress Organizers IMAGING
More informationNephrology Dialysis Transplantation
Nephrol Dial Transplant (2000) 15: 1373 1378 Original Article Nephrology Dialysis Transplantation Sonographic pattern of recessive polycystic kidney disease in young adults. Differences from the dominant
More informationUrinary system. Urinary system
INTRODUCTION. Several organs system Produce urine and excrete it from the body Maintenance of homeostasis. Components. two kidneys, produce urine; two ureters, carry urine to single urinary bladder for
More informationHereditary polycystic kidney diseases in children: changing sonographic patterns through childhood
Pediatr Radiol (2002) 32: 169 174 DOI 10.1007/s00247-001-0624-0 ORIGINAL ARTICLE Fred E. Avni Gretel Guissard Michelle Hall Franc oise Janssen Viviane DeMaertelaer Franc oise Rypens Hereditary polycystic
More informationVarious hereditary, acquired and neoplastic conditions can lead to cyst formation in the kidney.
Dr. Fatima AlAl-Hashimi Hashimi,, MD, FRCPath Salmaniya Medical Complex, Bahrain Various hereditary, acquired and neoplastic conditions can lead to cyst formation in the kidney. The most frequently encountered
More informationUAB P30 CORE A: The Hepato-Renal Fibrocystic Diseases Translational Resource
PKD Foundation UAB P30 CORE A: The Hepato-Renal Fibrocystic Diseases Translational Resource http://www.arpkdstudies.uab.edu/ Director: Co-Director: Lisa M. Guay-Woodford, MD William E. Grizzle, MD, PhD
More informationQ129. Which of the following is NOT true about lymph node?
Q129. Which of the following is NOT true about lymph node? (1). Normal lymph node is not seen in the ultrasound image (2). It is general that high frequency probe is used due to normal lymph node is located
More informationInterstitial Lung Disease in Infants and Children
Interstitial Lung Disease in Infants and Children David A. Mong, MD SUNDAY Andrew Mong MD Beyond the interstitium (path includes airways/airspace) Radiographic diffuse disease Adult Interstitial Lung Disease
More informationGeneral Anatomy of Urinary System
General Anatomy of Urinary System URINARY SYSTEM ORGANS Kidneys (2) Ureters (2) Urinary bladder Urethra KIDNEY FUNCTIONS Control blood volume and composition KIDNEY FUNCTIONS Filter blood plasma, eliminate
More informationABDOMINAL LYMPHANGIECTASIA
wjpmr, 2016,2(6), 123-129. SJIF Impact Factor: 3.535 Case Report WORLD JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH ISSN 2455-3301 WJPMR ABDOMINAL LYMPHANGIECTASIA 1 Dr. Kishor Rajpal, 2 Dr. Ashwini
More informationAbdominal Ultrasound : Aorta, Kidneys, Bladder
Abdominal Ultrasound : Aorta, Kidneys, Bladder Nilam J. Soni, MD, MSc Associate Professor of Medicine Divisions of Hospital Medicine and Pulmonary/Critical Care Medicine Department of Medicine University
More informationIMAGING TEACHING CASE Localized Cystic Disease of the Kidney: An Unusual Entity That Can Mimic a Cystic Neoplasm
IMAGING TEACHING CASE Localized Cystic Disease of the Kidney: An Unusual Entity That Can Mimic a Cystic Neoplasm Erik E. Dowden, MD, 1 Adeboye O. Osunkoya, MD, 2,3 and Deborah A. Baumgarten, MD, MPH 1
More informationIT 의료융합 1 차임상세미나 복부질환초음파 이재영
IT 의료융합 1 차임상세미나 2013-4-3 복부질환초음파 이재영 나는오늘누구를위하여 종을울리나? 전통적의료 의사 공학설계자 의사 최첨단진단장비들 USG, CT, MRI 환자 환자 현대의료 사용자중심의사고 US in the Abdomen Detection DDx Look Behavior Response by external stimuli Guiding Tool
More informationWhat is ARPKD/CHF? A Brief Overview of ARPKD and CHF:
What is ARPKD/CHF? A Brief Overview of ARPKD and CHF: Autosomal Recessive Polycystic Kidney Disease (ARPKD) is a rare genetic disorder that affects approximately 1:6,000 to 1:40,000 persons in the general
More informationHuman Anatomy Unit 3 URINARY SYSTEM
Human Anatomy Unit 3 URINARY SYSTEM In Anatomy Today Components Kidneys Ureters Urinary bladder Urethra Functions Storage of urine Bladder stores up to 1 L of urine Excretion of urine Transport of urine
More informationPolicies, Standards, and Guidelines. Guidelines for Abdominal Ultrasound Examination
Policies, Standards, and Guidelines Guidelines for Abdominal Ultrasound Examination Approved by Council Feb 2018 Disclaimer and Copyright The ASUM Standards of Practice Board have made every effort to
More informationChapter 23. The Nephron. (functional unit of the kidney
Chapter 23 The Nephron (functional unit of the kidney Renal capsule The Nephron Renal cortex Nephron Collecting duct Efferent arteriole Afferent arteriole (a) Renal corpuscle: Glomerular capsule Glomerulus
More informationThe diagnostic criteria of multilocular renal cysts
Case Report 772 Multilocular Renal Cysts with Renal Cell Carcinoma: Report of Four Cases Chia-Hsi Chen, MD; Cheng-Keng Chuang, MD, PhD; Chun-Te Wu, MD; Kwai-Fong Ng 1, MD; Shuen-Kuei Liao 2, PhD According
More information1. Hypogonadism is usually encountered in the following conditions, except
1. Hypogonadism is usually encountered in the following conditions, except A. Congenital adrenal hyperplasia B. Noonan Syndrome C. Prader-Willi Syndrome D. Bardet-Biedl Syndrome 2. A 6 year old girl with
More informationUnilateral renal agenesis does it matter?
Clinical Research Facility Central Manchester University Hospitals NHS Foundation Trust Unilateral renal agenesis does it matter? Nicholas J A Webb BMedSci DM FRCP FRCPCH Honorary Professor of Paediatric
More informationCase MDCT 3D reconstructed features of posterior urethral valve
Case 12688 MDCT 3D reconstructed features of posterior urethral valve Hidayatullah Hamidi Third year Resident of Radiology French medical institute for children Radiology Department; Kabul, Afghanistan;
More informationUltrasound Anomaly Details
Appendix 2. Association of Copy Number Variants With Specific Ultrasonographically Detected Fetal Anomalies Ultrasound Anomaly Details Abdominal wall Bladder exstrophy Body-stalk anomaly Cloacal exstrophy
More informationKidney Case 1 SURGICAL PATHOLOGY REPORT
Kidney Case 1 Surgical Pathology Report February 9, 2007 Clinical History: This 45 year old woman was found to have a left renal mass. CT urography with reconstruction revealed a 2 cm medial mass which
More informationURINARY SYSTEM. These organs lie posterior or inferior to the. (membrane).
URINARY SYSTEM I. INTRODUCTION Each kidney is made up of about a million tiny tubules called nephrons. Each nephron individually filters the blood and makes urine and it does the job completely, from start
More informationBasic of Ultrasound Physics E FAST & Renal Examination. Dr Muhammad Umer Ihsan MBBS,MD, DCH CCPU,DDU1,FACEM
Basic of Ultrasound Physics E FAST & Renal Examination Dr Muhammad Umer Ihsan MBBS,MD, DCH CCPU,DDU1,FACEM What is Sound? Sound is Mechanical pressure waves What is Ultrasound? Ultrasounds are sound waves
More informationPediatric Ure-Radiology*
Pediatric Ure-Radiology* HERMAN GROSSMAN, M.D. Professor of Radiology and Pediatrics, Duke University Medical Center, Durham, North Carolina "Routine" radiologic studies do not, often enough, concentrate
More informationGastrointestinal tract
Chapter 7 Gastrointestinal tract NORMAL SONOGRAPHIC ANATOMY Sonographically, the fetal stomach is visible from 9 weeks of gestation as a sonolucent cystic structure in the upper left quadrant of the abdomen.
More informationAppendix 5. EFSUMB Newsletter. Gastroenterological Ultrasound
EFSUMB Newsletter 87 Examinations should encompass the full range of pathological conditions listed below A log book listing the types of examinations undertaken should be kept Training should usually
More information