| Autor: |
Idelson, A., Almog, A., Tenenbaum‐Gavish, K., Danon, D., Duvdevani, N., Gielchinsky, Y. |
| Předmět: |
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| Zdroj: |
Ultrasound in Obstetrics & Gynecology; Sep2024 Supplement 1, Vol. 64, p223-223, 1p |
| Abstrakt: |
This article discusses the prenatal diagnosis and postnatal management of intrathoracic kidney (ITK) position in fetuses with congenital diaphragmatic hernia (CDH). The study reviewed cases at the Fetal Medicine Center of Rabin Medical Center from December 2018 to January 2024. Among the 86 fetuses with CDH, two had ITK, one with moderate left CDH and another with severe right CDH. One fetus with severe right CDH also had a high kidney position. All fetuses were male and had normal chromosomal microarray examinations. Whole exome sequencing analyses were performed postnatally in one case and revealed cardiac-urogenital syndrome. The mean gestational age at CDH diagnosis was 22 + 3 weeks. Abnormal kidney position was noted during CDH diagnosis or prenatal follow-up visits. Fetuses with severe CDH underwent prenatal fetoscopic endoluminal tracheal occlusion followed by planned fetoscopy for occlusion reversal. Prenatal diagnoses were confirmed during neonatal surgery, and all neonates were discharged home with normal renal function. The study concludes that the intrathoracic kidney can be present in both left and right CDH, and kidney repositioning is feasible with good urological outcomes. [Extracted from the article] |
| Databáze: |
Complementary Index |
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