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Congress: ECR25
Poster Number: C-27061
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-27061
Authorblock: N. B. Pahuja, B. Sonawane, A. Deshpande, S. N. Bhutada; Nagpur/IN
Disclosures:
Nisha Beeshamlal Pahuja: Nothing to disclose
Bhawana Sonawane: Nothing to disclose
Anagha Deshpande: Nothing to disclose
Sunita Nitin Bhutada: Nothing to disclose
Keywords: Paediatric, Urinary Tract / Bladder, Ultrasound, Ultrasound-Colour Doppler, Education, Pathology
Learning objectives Potter’s syndrome (also known as Potter’s sequence) is a rare congenital condition caused by severe oligohydramnios, which leads to a characteristic set of deformities and developmental abnormalities. It is primarily associated with bilateral renal agenesis (absence of both kidneys) or severe renal malformations, which result in reduced or absent amniotic fluid, limiting fetal lung development and causing physical deformities (Potter facies). These deformities include facial abnormalities, limb contractures, and pulmonary hypoplasia. facial festures includes low set ears, microagnathia, wrinkled skin...
Read more Background We conducted a retrospective review of four patients diagnosed with Potter's syndrome at our tertiary care hospital. The cases were evaluated based on prenatal ultrasonographic findings and postnatal imaging where applicable. Special attention was given to renal and skeletal manifestations. 
Read more Findings and procedure details Case 1: A neonate with unilateral renal agenesis and a contralateral dysplastic kidney presented with respiratory distress. Prenatal ultrasound revealed severe oligohydramnios, and postnatal imaging confirmed the renal anomalies. The mother was 30 years old with previous history of 2 normal vaginal deliveries.Case 2: A fetus with bilateral renal agenesis was identified during routine prenatal screening. The ultrasound showed anhydramnios, absent bilateral kidneys. On postmortem evaluation, syndactyly and low set ears were noted. The mother was 30 years old and...
Read more Conclusion Potter's syndrome presents with a spectrum of renal and systemic anomalies, emphasizing the importance of prenatal ultrasonography for early detection and counseling. The severity influences prognosis and management strategies. These cases highlight the diverse manifestations and underscore the need for multidisciplinary approach to optimize outcomes and provide comprehensive parental guidance.
Read more References 1. Dicker D, Samuel N, Feldberg D, Goldman JA. "The antenatal diagnosis of Potter syndrome (Potter sequence). A lethal and not-so-rare malformation2.Radiopaedia.org. "Potter sequence." 3. Konstantinidou P, Chatzifotiou E, Anestakis D. "Potter Syndrome: A Case Study." Clinical Case Reports International. 2017 Sep 22.4. Curry CJ, Jensen K, Holland J, Miller L, Hall BD. "The Potter sequence: A clinical analysis of 80 cases." Am J Med Genet. 
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