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Home > E. Pathology by systems > Urinary system > Kidneys > obstructive renal dysplasia

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obstructive renal dysplasia

Obstructive multicystic renal dysplasia Obstructive multicystic renal dysplasia Bilateral obstructive renal dysplasia (7 years) Bilateral obstructive renal dysplasia (7 years) Bilateral obstructive renal dysplasia (7 years) Bilateral obstructive renal dysplasia (7 years) Obstructive renal dysplasia (19 weeks) Bilateral obstructive multicystic renal dysplasia with unilateral renal (...) Bilateral obstructive multicystic renal dysplasia with unilateral renal (...) Bilateral obstructive multicystic renal dysplasia with unilateral renal (...) Bilateral obstructive renal dysplasia in vesical agenesis in sirenomelia (...) Bilateral obstructive renal dysplasia in vesical agenesis in sirenomelia (...) Bilateral obstructive renal dysplasia in vesical agenesis in sirenomelia (...) Obstructive renal dysplasia Obstructive renal dysplasia Obstructive renal dysplasia

Etiology

- anatomical or functional obstruction of congenital lower urinary tract

  • unilateral obstruction
    • unilateral obstruction of pelviureteral junction
    • ureteral implantation anomaly
    • ureteral atresia
  • bilateral obstruction +/- with Prune-Belly sequence
    • bilateral obstruction of pelviureteral junction
    • posterior urethral valves in boys
    • urethral atresia
    • megacystic-megaureter syndrome

Synopsis

- Renal dysplasia lesions

  • cysts formation
  • primary ductules
    • immature dysplastic tubulules surrounded by condensed mesenchyme
    • basement membrane may be thick and eosinophilic
  • immature glomeruli
  • immature tubules
  • metaplastic cartilage foci (islands of immature cartilage)

- association with hydronephrosis and/or hydronephrosis
- dilated and tortuous ureters

Case records

- Case 10041: Ureteral duplication with two blind ureteres and vesical agenesis. Severe caudal regression syndrome with sirenomelia. 19 weeks.