Potter Sequence-Role of Perinatal Autopsy in Diagnosis.

Autor: Belagatti, Satish L., Kadam, Sunil S., Kulkarni, Vardendra G., Hiremath, S. S., Jawali, Poornima
Předmět:
Zdroj: Indian Journal of Forensic Medicine & Toxicology; Jan-Jun2012, Vol. 6 Issue 1, p107-110, 4p
Abstrakt: Congenital malformations of kidney and urinary tract in the fetus are one of the commonest causes for development of oligohydramnios in antenatal life. Oligohydramnios, present over a prolonged period of time can result in compression deformities of the fetus that have been collectively termed as potter sequence. A retrospective study of 24 perinatal autopsies presenting with a history of oligohydramnios was done to evaluate the relative frequencies of congenital malformations and their association with potter sequence. We observed that 8 out of 12 cases of potter sequence were having an underlying congenital anomaly of kidney and urinary tract, whereas in the rest 4 cases of potter sequence the pathogenesis of oligohydramnios can be attributed to non renal causes. We also observed 4 cases of congenital malformations of kidneys that were not severe enough to produce potter sequence. We recommend that a meticulously done perinatal autopsy, in the light of thorough clinical and ultrasonological findings can yield a wealth of information regarding precise diagnosis of congenital malformations. [ABSTRACT FROM AUTHOR]
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