Case Series

Ipsilateral renal dysgenesis or agenesis with tubulocystic anomalies of the mesonephric duct

Anagha R. Joshi, Mridula M. Muthe, Sheethal Gonapati, Mehak R. Agarwal, Pareekshith R. Rai
South African Journal of Radiology | Vol 27, No 1 | a2700 | DOI: https://doi.org/10.4102/sajr.v27i1.2700 | © 2023 Anagha R. Joshi, Mridula M. Muthe, Sheethal Gonapati, Mehak R. Agarwal, Pareekshith R. Rai | This work is licensed under CC Attribution 4.0
Submitted: 20 April 2023 | Published: 26 September 2023

About the author(s)

Anagha R. Joshi, Department of Radiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
Mridula M. Muthe, Department of Radiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
Sheethal Gonapati, Department of Radiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
Mehak R. Agarwal, Department of Radiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
Pareekshith R. Rai, Department of Radiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India

Abstract

Tubulocystic anomalies of the mesonephric duct (MND) are a rare group of related entities with a perplexing clinical presentation. Ultrasound is a useful screening investigation, which can help identify a dysplastic kidney or point to renal agenesis and identify cystic or tubulocystic changes in the structures derived from the ureteric bud or MND. Further evaluation with MRI can help in characterisation and direct management. The presence of a dysplastic kidney or absence of a kidney should prompt further evaluation for associated ureteric abnormalities such as ectopic insertion or ureterocoele, which could lead to a diagnosis of tubulocystic anomaly of the MND.

Contribution: The authors describe two cases, briefly outline the diagnostic approach and summarise the literature on management. Reporting radiologists should be aware of these entities.

 


Keywords

renal dysgenesis; renal agenesis; tubulocystic anomaly; mesonephric duct; ectopic insertion

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