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What treatment should be taken for an infant born with a small kidney ?

my child born with on small right kidney now he is 14 month old and healthy,we done mag3 test which reveals right kidney is well outlined in its normal anatomical position and small in size .fast frame dynamic study makedly shows reduced perrfusion blush over kidney followed by reduced tracer uptake by functioing cortical parenchyma,this followed by sluggish cortical clearance and moderate accumalationof the tracer in pelvicalyceal system after inj frumide complete clearance of the tracer seen the post void image show minmal tracer in renal pelvis computer genrated renogram show markedly reduced cortical uptake and clearance function kidney size is 3.2 cm left kidney is 6.1 cm and perfectly alright right kidne function is 9 % working left is 91% workinf
Asked On : Tue, 17 Apr 2012
Answers:  1 Views:  45
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Radiologist, Nuclear Medicine 's  Response
From the details provided, your child has a hypoplastic right kidney with reduced perfusion and function.
This is most likely due to developmental abnormality and nothing much can be done now.

Factors you should take care:
1. Avoid the right kidney getting obstructed or infected. (there's nothing much you can do to avoid, but just be vigilant to identify things early).
2. Get regular USG to make sure the left kidney is fine.
3. It is possible for the right kidney function to reduce further as the child grows. This is because the left kidney will grow normally while your right won't.

Most of the times, the left kidney will enlarge and take up the extra- work. Just monitor his BP and if it goes out of range, get him treated.
Answered: Tue, 17 Apr 2012
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