Summary of Key Points Assessment of the relationship between the placenta and the internal cervical os is an essential component of sonography in the second and third trimesters. Placenta previa is identified in 1% to 5% of second-trimester sonograms but…
Introduction Autosomal recessive polycystic kidney disease (ARPKD) is a chronic, progressive condition that affects the kidneys and liver, causing cystic dilatation of the renal collecting ducts and congenital hepatic fibrosis (CHF), or Caroli disease. ARPKD is also called infantile polycystic…
Introduction Multicystic dysplastic kidney (MCDK) is a form of severe renal dysplasia that typically results in a nonfunctioning kidney. The parenchyma is replaced by numerous cysts of varying size, with echogenic intervening tissue and an atretic ureter. Microscopically, undifferentiated epithelium…
Introduction Posterior urethral valves (PUV) are the most common cause of fetal lower urinary tract obstruction, also called bladder outlet obstruction. Membranous tissue in the posterior urethra results in varying degrees of obstruction. The condition occurs only in males, although…
Introduction Duplication of the renal collecting system, also termed duplex kidney, is one of the few renal anomalies more common in females. Duplex kidneys have an upper pole and a lower pole, called moieties, each drained by a ureter. Approximately…
Introduction Fetal renal pelvis dilatation (or dilation) is a common ultrasound (US) finding, identified in 1% to 5% of pregnancies. There is a strong correlation between the degree of renal pelvis dilatation and the likelihood of postnatal urinary pathology, particularly…
Introduction Unilateral renal agenesis, also called solitary kidney, is a common congenital anomaly. Affected individuals are usually asymptomatic, and if a diagnosis is not made prenatally, they may not receive medical attention until complications arise. If unilateral renal agenesis is…
Introduction Bilateral renal agenesis is a uniformly lethal anomaly. Absence of the kidneys causes anhydramnios, resulting in pulmonary hypoplasia, characteristic facies, and positional extremity abnormalities ( Fig. 10.1 ). This constellation of findings was first described by Edith Potter, and…
Introduction The fetal kidneys are routinely imaged in the second and third trimester, but they are not usually measured unless an abnormality is suspected. Nomograms are available not only for kidney length ( Table 9.1 ) but also for anterior-posterior…
Introduction There are three types of abnormalities of renal location: simple renal ectopia (e.g., pelvic kidney), crossed renal ectopia, and horseshoe kidney. They are collectively termed renal ectopia . During normal development, the metanephros migrates from the pelvis to the…