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Bilateral Renal Agenesis
Karen Y. Oh, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Potter syndrome
                • Anhydramnios associated with abnormal facies, limb deformities
                • Not pathognomonic of renal agenesis
                  • Can be seen with multiple causes of anhydramnios
            • Definitions

              • Absence of renal tissue

            IMAGING

            • Ultrasonographic Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Spiro JE et al: Renal oligo- and anhydramnios: cause, course and outcome--a single-center study. Arch Gynecol Obstet. 292(2):327-36, 2015
                                  2. Ulkumen BA et al: Outcomes and management strategies in pregnancies with early onset oligohydramnios. Clin Exp Obstet Gynecol. 42(3):355-7, 2015
                                  3. Gęca T et al: Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report. J Med Case Rep. 8:96, 2014
                                  4. Manoj MG et al: Potter's syndrome - a fatal constellation of anomalies. Indian J Med Res. 139(4):648-9, 2014
                                  5. Shastry SM et al: Potter's sequence. J Clin Neonatol. 1(3):157-9, 2012
                                  6. Grijseels EW et al: Outcome of pregnancies complicated by oligohydramnios or anhydramnios of renal origin. Prenat Diagn. 31(11):1039-45, 2011
                                  7. Harewood L et al: Bilateral renal agenesis/hypoplasia/dysplasia (BRAHD): postmortem analysis of 45 cases with breakpoint mapping of two de novo translocations. PLoS One. 5(8), 2010
                                  8. Bruce JH et al: Caudal dysplasia syndrome and sirenomelia: are they part of a spectrum? Fetal Pediatr Pathol. 28(3):109-31, 2009
                                  9. Hawkins JS et al: Magnetic resonance imaging diagnosis of severe fetal renal anomalies. Am J Obstet Gynecol. 198(3):328, 2008
                                  10. Kumari N et al: Post-mortem examination of prenatally diagnosed fatal renal malformation. J Perinatol. 28(11):736-42, 2008
                                  11. Martínez-Frías ML et al: Does single umbilical artery (SUA) predict any type of congenital defect? Clinical-epidemiological analysis of a large consecutive series of malformed infants. Am J Med Genet A. 146A(1):15-25, 2008
                                  12. Slickers JE et al: Maternal body mass index and lifestyle exposures and the risk of bilateral renal agenesis or hypoplasia: the National Birth Defects Prevention Study. Am J Epidemiol. 168(11):1259-67, 2008
                                  13. Sgro M et al: False diagnosis of renal agenesis on fetal MRI. Ultrasound Obstet Gynecol. 25(2):197-200, 2005
                                  14. Cassart M et al: Complementary role of MRI after sonography in assessing bilateral urinary tract anomalies in the fetus. AJR Am J Roentgenol. 182(3):689-95, 2004
                                  15. Breysem L et al: The value of fast MR imaging as an adjunct to ultrasound in prenatal diagnosis. Eur Radiol. 13(7):1538-48, 2003
                                  16. Kemper MJ et al: Antenatal oligohydramnios of renal origin: postnatal therapeutic and prognostic challenges. Clin Nephrol. 56(6):S9-12, 2001
                                  17. Herndon CD et al: Consensus on the prenatal management of antenatally detected urological abnormalities. J Urol. 164(3 Pt 2):1052-6, 2000
                                  18. Zeijl C et al: Clinical outcome and follow-up of sonographically suspected in utero urinary tract anomalies. J Clin Ultrasound. 27(1):21-8, 1999
                                  19. Sepulveda W et al: Accuracy of prenatal diagnosis of renal agenesis with color flow imaging in severe second-trimester oligohydramnios. Am J Obstet Gynecol. 173(6):1788-92, 1995
                                  20. Bronshtein M et al: The early prenatal sonographic diagnosis of renal agenesis: techniques and possible pitfalls. Prenat Diagn. 14(4):291-7, 1994
                                  21. McGahan JP et al: Adrenal hypertrophy: possible pitfall in the sonographic diagnosis of renal agenesis. J Ultrasound Med. 5(5):265-8, 1986
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Pathology

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Synonyms

                                              • Potter syndrome
                                                • Anhydramnios associated with abnormal facies, limb deformities
                                                • Not pathognomonic of renal agenesis
                                                  • Can be seen with multiple causes of anhydramnios
                                            • Definitions

                                              • Absence of renal tissue

                                            IMAGING

                                            • Ultrasonographic Findings

                                              • MR Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              DIAGNOSTIC CHECKLIST

                                                              • Consider

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Spiro JE et al: Renal oligo- and anhydramnios: cause, course and outcome--a single-center study. Arch Gynecol Obstet. 292(2):327-36, 2015
                                                                  2. Ulkumen BA et al: Outcomes and management strategies in pregnancies with early onset oligohydramnios. Clin Exp Obstet Gynecol. 42(3):355-7, 2015
                                                                  3. Gęca T et al: Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report. J Med Case Rep. 8:96, 2014
                                                                  4. Manoj MG et al: Potter's syndrome - a fatal constellation of anomalies. Indian J Med Res. 139(4):648-9, 2014
                                                                  5. Shastry SM et al: Potter's sequence. J Clin Neonatol. 1(3):157-9, 2012
                                                                  6. Grijseels EW et al: Outcome of pregnancies complicated by oligohydramnios or anhydramnios of renal origin. Prenat Diagn. 31(11):1039-45, 2011
                                                                  7. Harewood L et al: Bilateral renal agenesis/hypoplasia/dysplasia (BRAHD): postmortem analysis of 45 cases with breakpoint mapping of two de novo translocations. PLoS One. 5(8), 2010
                                                                  8. Bruce JH et al: Caudal dysplasia syndrome and sirenomelia: are they part of a spectrum? Fetal Pediatr Pathol. 28(3):109-31, 2009
                                                                  9. Hawkins JS et al: Magnetic resonance imaging diagnosis of severe fetal renal anomalies. Am J Obstet Gynecol. 198(3):328, 2008
                                                                  10. Kumari N et al: Post-mortem examination of prenatally diagnosed fatal renal malformation. J Perinatol. 28(11):736-42, 2008
                                                                  11. Martínez-Frías ML et al: Does single umbilical artery (SUA) predict any type of congenital defect? Clinical-epidemiological analysis of a large consecutive series of malformed infants. Am J Med Genet A. 146A(1):15-25, 2008
                                                                  12. Slickers JE et al: Maternal body mass index and lifestyle exposures and the risk of bilateral renal agenesis or hypoplasia: the National Birth Defects Prevention Study. Am J Epidemiol. 168(11):1259-67, 2008
                                                                  13. Sgro M et al: False diagnosis of renal agenesis on fetal MRI. Ultrasound Obstet Gynecol. 25(2):197-200, 2005
                                                                  14. Cassart M et al: Complementary role of MRI after sonography in assessing bilateral urinary tract anomalies in the fetus. AJR Am J Roentgenol. 182(3):689-95, 2004
                                                                  15. Breysem L et al: The value of fast MR imaging as an adjunct to ultrasound in prenatal diagnosis. Eur Radiol. 13(7):1538-48, 2003
                                                                  16. Kemper MJ et al: Antenatal oligohydramnios of renal origin: postnatal therapeutic and prognostic challenges. Clin Nephrol. 56(6):S9-12, 2001
                                                                  17. Herndon CD et al: Consensus on the prenatal management of antenatally detected urological abnormalities. J Urol. 164(3 Pt 2):1052-6, 2000
                                                                  18. Zeijl C et al: Clinical outcome and follow-up of sonographically suspected in utero urinary tract anomalies. J Clin Ultrasound. 27(1):21-8, 1999
                                                                  19. Sepulveda W et al: Accuracy of prenatal diagnosis of renal agenesis with color flow imaging in severe second-trimester oligohydramnios. Am J Obstet Gynecol. 173(6):1788-92, 1995
                                                                  20. Bronshtein M et al: The early prenatal sonographic diagnosis of renal agenesis: techniques and possible pitfalls. Prenat Diagn. 14(4):291-7, 1994
                                                                  21. McGahan JP et al: Adrenal hypertrophy: possible pitfall in the sonographic diagnosis of renal agenesis. J Ultrasound Med. 5(5):265-8, 1986