Know More On Congenital Abnormality of Kidney and Urinary Tract- CAKUT | Max Hospital
  1. Home
  2. Blogs
  3. Paediatric Nephrology
  4. Know More On Congenital Abnormality of Kidney and Urinary Tract- CAKUT

Get Second Opinion

Please provide your phone number with country code

Doc Connect

Hospital : 
Max Super Speciality Hospital, Saket
Description: 
  • Robotic Urological Surgery: 15 years journey 
    Dr. Rahul Yadav, Dr. Anant Kumar
  • Robotic surgery is the latest in advanced onco surgical procedures 
    Dr. Harit Chaturvedi
  • Percutaneous balloon aortic valvuloplasty & balloon dilatation of aortic coarctation in a 10 year old child 
    Dr. Neeraj Awasthy, Dr. Sushil Shukla
  • Role of CT/MR imaging and echocardiography in evaluation of valsalva sinus aneurysm 
    Dr. Reena Anand, Dr. Raj Kumar, Dr. Divya Malhotra, Dr. Bharat Aggarwal
  • Risk factors for patients undergoing treatment for Breast Cancer
    Ms. Kanika Arora, Ms. Ritika Samaddar
  • Radiology Case of The Month 
    Dr. Nafisa Shakir Batta, Dr. Dhruv Jain
Date: 
October, 2015 :15
Emergency Call Button

DELHI / NCR : 011-4055 4055

MOHALI : 0172-665 2666

DEHRADUN : 0135-667 3666

BATHINDA : 0164-660 1666

 

Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Know More On Congenital Abnormality of Kidney and Urinary Tract- CAKUT

Home >> Blogs >> Paediatric Nephrology >> Know More On Congenital Abnormality of Kidney and Urinary Tract- CAKUT

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

August 18, 2017 0 61 2 minutes, 21 seconds read
Dr._Sonia[1] - Max Hospital
Consultant – Pediatric Nephrology
Paediatric Nephrology

Why know about CAKUT?

Do you know in our country with a population of more than 1 billion, children contribute 40 % of this population. Adult hospital based study have shown the prevalence of 0.8 % of exclusive chronic kidney diseases but no recent pediatric data is available for the burden of this disease. Dr. Sonia Sharma says CAKUT ( a congenital abnormality of kidney and urinary tract) and hereditary nephropathies contribute 2/3 of all chronic renal failure in children. CAKUT include renal agenesis, multicystic dysplastic kidney, renal dysplasia, duplex, ectopic ureter and bladder abnormalities.

Recognize the hidden illness

Case 1

A 15 yr old boy from a poor family was presented in emergency with seizures. He also had pallor and blood pressure was 150/100 mmHg (Above 95th centile). Past history of recurrent urinary tract infections was present. USG showed absent left kidney and right side small kidney. His kidney function tests were also deranged (Urea/Creatinine: 198/5).  The family has explained the diagnosis of chronic kidney disease and the need for dialysis. Now the child is on regular hemo-dialysis and waiting for kidney transplant.

Case2

3-month-old infant was admitted with poor intake and vomiting off and on for 4 days and not passing urine for 1 day. He was antenately diagnosed with bilateral hydro-uretero-nephrosis and post-natal USG also showed similar findings. His kidney function tests were within the normal limit at birth and discharged without further investigations. Now at admission, he was noted to have fast breathing and irritability. Investigations suggested impaired urea and creatinine (180/ 2.5) and metabolic acidosis. USG showed similar findings. MCU suggested posterior urethral valve. The child was taken for surgery after stabilizing the KFT. He needed dialysis for the same.

Facts:

Do not ignore the underlying cause especially with recurrent urinary tract infection as CAKUT is the cause of 30% of all CKD in children. All renal and urinary tract malformations altogether present in 1:500 live born fetuses, 1:2000 births neonatal death and contribute to 15 % of all prenatally detected anomalies. Other than gene mutation and obstruction, exposure to certain intrauterine factors like low protein diet, vitamin A deficiency, high/low sodium diet, RAS blockers etc affect the normal anatomy. Timely intervention for an underlying cause can prevent chronicity but abnormality like posterior urethral valve may progress to chronic kidney disease despite corrections.

Your Child may need a follow up with a Pediatric nephrologist (age group: 0-18 years) for:

  • Hypertension
  • Proteinuria
  • Hematuria
  • Recurrent urinary tract infection, day time & night time enuresis, urgency, frequency
  • Decline in GFR
  • Emergency Dialysis

Imaging needed for complete evaluation if diagnosed early:

  • USG
  • Voiding cystourethrography
  • DTPA
  • DMSA

If diagnosed late with chronic kidney disease, neither of the nuclear imaging modalities are required.

Are there any treatment options?

If approached early:

  • Timely correction of underlying cause
  • Medicinal management for persistent hypertension, proteinuria

If approach late:

  • Dialysis: Hemodialysis, Peritoneal dialysis
  • Renal transplant

Early Prevention can help the doctor in preparing a preventive plan. 

 

Related Articles

Featured Doctors

Dr._Sonia[1] - Max Hospital
Consultant – Pediatric Nephrology
Book an Appointment