Dilemma of Fetal Autosomal Dominant Polycystic Kidney Disease, a Disease Rare to Present in Fetal Life!

Prenatal presentation of fetal ADPKD is rare, however the disease is seen to present in fetal life also. We realize that ADPKD has varied presentations. It can present as isolated enlarged echogenic kidneys with or without any cystic change in fetal life or any decline in renal function. Their presence in fetal life makes a difficult situation to explain the parents the uncertain risk of progression in utero, immediate postnatal or in later years of life. We report two cases each with different presentation and different outcome of similar disease in fetus. It is yet important to diagnose maternal ADPKD in females presenting with early onset hypertension so as to reach at an early diagnosis of fetal ADPKD and similarly screen the parents if the disease presents for the first time in fetus.