Aplasia of the kidney (Russell Silver Syndrome) is one of the congenital anomalies of kidney development. It is characterized by a complete lack of an organ or its underdevelopment. This pathology can provoke the appearance of pyelonephritis, nephrolithiasis and hypertension.
Symptoms of kidney aplasia
Aplasia of the kidney occurs when the canal of methanephros does not grow to a metanephrogenic blastema. The ureter can be both normal and short. In rare cases, it is completely absent. The most frequent symptom of aplasia of the left or right kidney is a decrease in the amount of urine or its absence. Also, the absence of one part of this organ allows one-sided renal colic (this is an attack of sharp pain accompanied by anuria). There are no other symptoms in this pathology.
Diagnosis of kidney aplasia
To diagnose aplasia of the left or right kidney, it is necessary to make ultrasound examination of the abdominal cavity. Also, the presence of an underdeveloped organ or its absence can be determined using:
- computed tomography with contrast;
- renal angiography;
- Excretory urography.
44.0-80.0 μmol / L is the norm of creatinine in a woman's blood, but with aplasia of the kidney this indicator can be slightly lowered. Therefore, if there are symptoms of such a pathology, you should also take a blood test.
Treatment of kidney aplasia
Aplasia of the right or left kidney usually does not require medical therapy. To maintain human health in a normal state, you only need to follow a diet that is designed to reduce the burden on the second kidney. If the patient has persistent hypertension, then he should take diuretics.
To surgical intervention with aplasia used only when:
- development of hypertension (only nephrogenic form);
- presence of severe pain in the affected area;
- reflux into the ureter, which malorazvit.