Pediatric abdomen

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Ultrasound images of pediatric abdomen:

Ectopic kidney or Renal ectopia:

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1) Pelvic kidney in neonate:

the left kidney is not seen in left renal fossa      Rt. kidney is visualized

note the hyperechoic renal pyramids of right kidney      note the ectopic left kidney in pelvis

pelvic kidney close to bladder    left (pelvic) kidney shows changes of nephrocalcinosis

color doppler shows vascularity of pelvic kidney   

This female neonate presented with imperforate anus. Sonography reveals normally located right kidney. However the left kidney is not visualized in left renal fossa. Ultrasound images reveal a pelvic kidney that appears somewhat rounded, located posterior and superior to the bladder. The renal pyramids of both kidneys appear echogenic suggestive of early nephrocalcinosis. The uterus of this neonate was not visualized well. Color doppler imaging shows the vascularity of the pelvic kidney. Images taken using a Toshiba Xario machine.

Reference: http://www.thefetus.net/page.php?id=549 (a good article on pelvic kidney, with free images).

2) Nephrocalcinosis in neonates:

nephrocalcinosis of neonatal right kidney      note the hyperechoic renal pyramids

the tips of the renal pyramids appear echogenic     medullary nephrocalcinosis

These ultrasound images of neonatal kidneys show-  markedly echogenic renal pyramids, bilaterally, with chief involvement of the tips suggestive of medullary nephrocalcinosis. Such nephrocalcinosis in neonates usually follows long term parenteral therapy or due to use of certain drugs notably gentamicin and furosemide. It can also be caused by low fluid intake in the neonate and due to oxygen dependency. This condition, in neonates, usually resolves following correction of the etiological factors. Case courtesy of Joe Antony, MD, India. Images taken using a Toshiba Xario machine.

Also see: http://www.ultrasound-images.com/renal-calculi.htm (where I describe nephrocalcinosis in adults).

 

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  This page was last edited on: Monday July 14, 2008 03:42 PM  

Copyright ©   2007- All rights reserved- www.ultrasound-images.com Dr. Joe Antony, MD,    265, Girinagar, Cochin- 20, India.

Contact: joe@ultrasound-images.com or drjoea (at) gmail.com