HIGH RESOLUTION ULTRAOUND FINDINGS OF LIVER AND KIDNEYS IN A CASE OF AUTOSOMAL RECESSIVE POLYCYSTIC KIDNEY DISEASE IN A 4 DAYS OLD NEONATE

Abstract

Autosomal recessive polycystic kidney disease is characterized by renal collecting duct cysts, congenital hepatic fibrosis (biliary dysgenesis) and autosomal recessive pattern of inheritance. The typical songraphic appearance of autosomal recessive polycystic kidney disease (ARPKD) has been described as symmetrically enlarged, echogenic kidneys with occasional visualization of small cysts. We present a case of a 4 years old male neonate referred to our ultrasound department. High resolution Ultrasound revealed bilateral renal enlargement due to non-obstructive collecting duct ectasia in a bilateral and symmetrical fashion as well as changes due to hepatic periportal fibrosis and biliary dilatation.