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Unilateral Multicystic Renal Disease of the Newborn

Unilateral Multicystic Renal Disease of the Newborn Abstract Unilateral multicystic disease is rare, but its recognition is important because surgical treatment is so satisfactory even in infants. It must be differentiated from the other forms of renal cystic disease, that is, bilateral polycystic disease or solitary cysts of the kidney.* Review of the Literature Bugbee and Wollstein6 studied the urinary tract of 4903 infants at necropsy and found a total of only four cases of unilateral cystic renal disease, an incidence of 0.1%. In the same study 11 bilateral cystic kidneys were found, 0.2%.The present knowledge of the pathogenesis of these disorders is scant and theoretical. It is known, however, that the ureteral bud (which is derived from the Wolfian duct) as it ascends from the pelvis to form the collecting system of the permanent kidney must unite with the nephrons of the metanephrons. The most widely accepted theory concerning the origin of the polycystic and References 1. Lynch, K. D., and Thompson, R. F.: Unilateral Multicystic Kidney in an Infant , J. Urol. 38:58-60, 1937. 2. Carver, J. H.: Cystic Disease of the Right Kidney in an Infant , Brit. J. Urol. 21:229-231, 1949.Crossref 3. Bunge, R. G., and Harness, W. W.: Unilateral Polycystic Kidney in an Infant , J. Urol. 65:972-975, 1951. 4. Wakeley, C.: Case of Unilateral Polycystic Kidney in a Child, Age One Year and Eight Months , Brit. J. Surg. 18:161-165, 1930. 5. Christeson, W. W.: Simple Renal Cysts in the Newborn: Report of 2 cases , J. Urol. 72:1137-1139, 1954. 6. Bugbee, H. G., and Wollstein, M.: Surgical Pathology of Urinary Tract in Children , J. A. M. A. 83:1887-1894, 1924.Crossref 7. Lambert, P. P.: Polycystic Disease of the Kidney: Review , Arch. Path. 44:34-58, 1947. 8. Spence, H. M.: Congenital Unilateral Multicystic Kidney: An Entity to Be Distinguished from Polycystic Kidney Disease and Other Cystic Disorders , J. Urol. 74:693-706, 1955. 9. Ravitch, M. M., and Sanford, M. C.: Unilateral Multicystic Kidney in Infants , Pediatrics 4:769-781, 1949. 10. Schwartz, J.: An Unusual Unilateral Multicystic Kidney in an Infant , J. Urol. 35: 259-263, 1936. 11. Campbell, M.: Clinical Pediatric Urology , Philadelphia, W. B. Saunders Company, 1951, pp. 9-180. 12. Willson-Pepper, J. K., and Slade, D. A.: Calcification in a Polycystic Kidney , Brit. J. Urol. 27:172-176, 1955.Crossref 13. Mixter, C. G.: Tumors of Kidney in Infancy and Childhood , Ann. Surg. 76:52-63, 1922. 14. Howze, C. P., and Hill J. H.: Unilateral Multiple Cysts of the Kidney , J. Urol. 61:187-193, 1949. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1956.02060030570005
Publisher site
See Article on Publisher Site

Abstract

Abstract Unilateral multicystic disease is rare, but its recognition is important because surgical treatment is so satisfactory even in infants. It must be differentiated from the other forms of renal cystic disease, that is, bilateral polycystic disease or solitary cysts of the kidney.* Review of the Literature Bugbee and Wollstein6 studied the urinary tract of 4903 infants at necropsy and found a total of only four cases of unilateral cystic renal disease, an incidence of 0.1%. In the same study 11 bilateral cystic kidneys were found, 0.2%.The present knowledge of the pathogenesis of these disorders is scant and theoretical. It is known, however, that the ureteral bud (which is derived from the Wolfian duct) as it ascends from the pelvis to form the collecting system of the permanent kidney must unite with the nephrons of the metanephrons. The most widely accepted theory concerning the origin of the polycystic and References 1. Lynch, K. D., and Thompson, R. F.: Unilateral Multicystic Kidney in an Infant , J. Urol. 38:58-60, 1937. 2. Carver, J. H.: Cystic Disease of the Right Kidney in an Infant , Brit. J. Urol. 21:229-231, 1949.Crossref 3. Bunge, R. G., and Harness, W. W.: Unilateral Polycystic Kidney in an Infant , J. Urol. 65:972-975, 1951. 4. Wakeley, C.: Case of Unilateral Polycystic Kidney in a Child, Age One Year and Eight Months , Brit. J. Surg. 18:161-165, 1930. 5. Christeson, W. W.: Simple Renal Cysts in the Newborn: Report of 2 cases , J. Urol. 72:1137-1139, 1954. 6. Bugbee, H. G., and Wollstein, M.: Surgical Pathology of Urinary Tract in Children , J. A. M. A. 83:1887-1894, 1924.Crossref 7. Lambert, P. P.: Polycystic Disease of the Kidney: Review , Arch. Path. 44:34-58, 1947. 8. Spence, H. M.: Congenital Unilateral Multicystic Kidney: An Entity to Be Distinguished from Polycystic Kidney Disease and Other Cystic Disorders , J. Urol. 74:693-706, 1955. 9. Ravitch, M. M., and Sanford, M. C.: Unilateral Multicystic Kidney in Infants , Pediatrics 4:769-781, 1949. 10. Schwartz, J.: An Unusual Unilateral Multicystic Kidney in an Infant , J. Urol. 35: 259-263, 1936. 11. Campbell, M.: Clinical Pediatric Urology , Philadelphia, W. B. Saunders Company, 1951, pp. 9-180. 12. Willson-Pepper, J. K., and Slade, D. A.: Calcification in a Polycystic Kidney , Brit. J. Urol. 27:172-176, 1955.Crossref 13. Mixter, C. G.: Tumors of Kidney in Infancy and Childhood , Ann. Surg. 76:52-63, 1922. 14. Howze, C. P., and Hill J. H.: Unilateral Multiple Cysts of the Kidney , J. Urol. 61:187-193, 1949.

Journal

A.M.A. Journal of Diseases of ChildrenAmerican Medical Association

Published: Dec 1, 1956

References