RT Journal
A1 Gwinn JL, Lee FA
T1 RAdiological case of the month
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1969
FD May 1
VO 117
IS 5
SP 583
OP 584
DO 10.1001/archpedi.1969.02100030585015
UL http://dx.doi.org/10.1001/archpedi.1969.02100030585015
AB CLINICAL HISTORY.—This 4-day-old boy was admitted to Childrens Hospital, Los Angeles, for evaluation of bilateral abdominal masses.The mother's pregnancy was uneventful, but the delivery was difficult, and the umbilical cord was around the infant's neck. The baby's face was blue at birth, and sternal retractions were present. The family history was noncontributory.Physical Examination.—There were diffuse ecchymoses of the forehead, eyelids, and nose, and many scattered petechiae were present over the head. The other positive physical findings were limited to the abdomen where firm bilateral masses were palpable, filling both flanks. The blood urea nitrogen value was 23 mg/100 ml. A plain x-ray film was taken (Fig 1) and excretory urography was performed (Fig 2 and 3).Denouement and DiscussionInfantile Polycystic KidneysInfantile polycystic disease of the kidneys is a different entity from adult polycystic disease. It is considered to have an autosomal recessive mode of transmission.