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Bilateral multicystic dysplastic kidney disease in a Fetus: A rare case with a fatal outcome

Year: 2025

Type: article

Abstract: Bilateral multicystic dysplastic kidney (MCKD) is a rare, fatal congenital anomaly with multiple non-communicating renal cysts and absent parenchyma, often linked to other malformations. A 27-year-old gravida 4, para 3 woman at 28 weeks gestation, without prior antenatal care, presented with parotiditis. Ultrasound revealed bilateral enlarged kidneys (right: 7.49 × 4.78 cm; left: 8.25 × 4.68 cm) with multiple cysts, minimal parenchyma, severe oligohydramnios, and associated anomalies including posterior urethral valves, cardiomegaly, and ventriculomegaly. Bilateral MCKD is incompatible with life, detectable from 18–28 weeks, showing the value of routine anomaly scans. • Bilateral multicystic dysplastic kidney is a rare, fatal congenital anomaly • Ultrasound detected enlarged cystic kidneys with absent functional parenchyma • Severe oligohydramnios and associated anomalies confirmed poor prognosis • Routine antenatal scans crucial for early detection and parental counseling

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103259

Authors: Bernadette Pedun, Ivaan Pitua, Felix Bongomin, Crescent Tumusiime