Hi, my wife is in her 28th week of pregnancy and recent scan shows problem with the fetus kidneys. one of the kidney has multiple cysts and other kidney shows dilation. the reports says: the fetal right kidney measures 52mm in length, shows dilation of p

Real problems with k: Is there a family history of polycystic kidney disease? The right kidney seems to be very enlarged Average size at 28 wks gestation is only 34 mm + or - 4 mm. I do not know if the hospital has a kidney maven to discuss this with you but you should also both speak to a genetic counselor after this pregnancy for recurrence risk assessment. I am not sure if they know the chromosomal loci yet for

Cystic kidneys: Sounds like either ARPKD ( Autosomal recessive polycystic kidney disease) or renal dysplasia due to obstructive uropathy. Both these conditions are compatible with life depending upon fetal lung maturity. Believe it or not-- you need normal kidneys for lungsto develop in utero. In any case my best advice to you would be to consult with a Pediatric Nephrologist, before the birth of the baby.

Evaluation at birth: The OB doctor can follow the infant before birth. A neonatologist needs to evaluate the kidneys after birth sonogram of the kidneys afterbirth is much more accurate. If the neonatologist is concerned a referral can be made to a pediatric urologist for further evaluation. At this point is a wait and see period. Don't assume that surgery is necessary. Often times careful observatiodon't assume that surgery is necessary. Often times careful observation is indicated