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Complete Regression of a Multicystic Dysplastic Kidney in the Setting of Renal Crossed Fused Ectopia Randall L. Siegel, MD, David L. Rosenfeld, MD, and Sherwin Leiman, MD Renal crossed fused ectopia with multicystic dysplasia of a single kidney (MCDK) is an extremely rare anomaly. We believe this is the first reported case of complete regression of a multicystic dysplastic kidney in the setting of renal crossed fused ectopia. CASE REPORT A 27-year-old woman with an obstetrical history of a single full-term uncomplicated delivery had an uneventful second pregnancy until she was approximately 32 weeks, menstrual age (MA), when she experienced vaginal bleeding. She was initially evaluated at an outside institution where an obstetrical ultrasound examination indicated a placenta previa and possible posterior urethral valves in the fetus. She was then transferred to our institution for further evaluation. An ultrasound examination performed upon admission revealed a single viable intrauterine pregnancy at 32 weeks, MA, with a complete posterior placenta previa. Examination of the fetal abdomen revealed a nonhydronephrotic right kidney measuring 4.2 cm in length, with a 3.5-cm multicystic mass contiguous with the lower pole (Figure 1). Examination of the left renal fossa revealed a normally positioned left adrenal
Journal of Clinical Ultrasound – Wiley
Published: Sep 1, 1992
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