MEDULLARY SPONGE KIDNEY

• It is autosomal recessive
• Dilatation of distal portion of the collecting duct with associated cyst having a sponge appearance.
• It is usually bilateral.
• Infection and calculi due to urinary stasis in the tubercle.
• Associated with hemihypertrophy of the body, hypercalculs stone formation, nephrocalcinosis.

CLINICAL FEATURES-

• UTI (infection)
• Stone with  renal colic
• Recurrent Haematuria

INVESTIGATIONS-

1. IVP-

• Bristles on brush appearance due to dilated ducts
• Bouquet of flower appearance due to calcification of ecstatic ducts

TREATMENT-

• No treatment

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