Medullary sponge kidney: Difference between revisions
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*Echogenic medullary pyramids in patients with medullary sponge kidney, irrespective of the presence of medullary nephrocalcinosis. | *Echogenic medullary pyramids in patients with medullary sponge kidney, irrespective of the presence of medullary nephrocalcinosis. | ||
*US findings can demonstrate complications related to calculus disease. | *US findings can demonstrate complications related to calculus disease. | ||
==Complications== | |||
Complications such as infection, hematuria, and [[nephrolithiasis]] may be the presenting complaint in approximately 10% of patients. | |||
==References== | ==References== | ||
Revision as of 00:30, 15 March 2009
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Medullary sponge kidney is a congenital disorder of the kidneys characterized by a cystic dilatation of the collecting tubules in one or both kidneys.
Incidence
It has been estimated to occur with a prevalence of between 1 in every 5,000-10,000 individuals in a population1.
Clinical Presentations
In most cases, medullary sponge kidney affects only one kidney, in which case kidney function is usually preserved and individuals may be asymptomatic. However, these individuals are at increased risk for nephrolithiasis (kidney stones) and urinary tract infection.
Diagnostic Findings
Computed Tomography
- Unenhanced CT scan findings may be normal or demonstrate medullary nephrocalcinosis.
- Enhanced scans may demonstrate contrast accumulation within the papillae.
Ultrasonography
- Echogenic medullary pyramids in patients with medullary sponge kidney, irrespective of the presence of medullary nephrocalcinosis.
- US findings can demonstrate complications related to calculus disease.
Complications
Complications such as infection, hematuria, and nephrolithiasis may be the presenting complaint in approximately 10% of patients.