Severe Uropathy and Normal Amniotic Fluid Volume in a Male Fetus
| Autor: | Alba Greco, Kristin Atkins, Eran Bornstein, Shira Fishman, Farzana Arif, Ewa B. Bajor-Dattilo M.D., Ana Monteagudo, Ilan E. Timor-Tritsch, S. Monda |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Colon Urinary Bladder Oligohydramnios Hydroureter Severity of Illness Index Ultrasonography Prenatal Pulmonary hypoplasia Pregnancy Humans Medicine Abnormalities Multiple Radiology Nuclear Medicine and imaging Fetus Radiological and Ultrasound Technology business.industry Obstetrics Gestational age Syndrome Megacystis Microcolon Amniotic Fluid medicine.disease Intestines Fetal Diseases Female Peristalsis business Ureteral Obstruction |
| Zdroj: | Journal of Ultrasound in Medicine. 27:1099-1104 |
| ISSN: | 0278-4297 |
| Popis: | The widespread use of sonography as a screening tool for fetal anomalies has facilitated prenatal detection of several fetal conditions characterized by urinary tract dilatation. These conditions are more common in male fetuses and are generally a result of an anatomic defect causing obstruction along the urinary tract system. Although the prognosis of these conditions largely depends on the specific anomaly, several poor prognostic factors have been described. These factors include detection at an early gestational age, bilateral marked dilatation, a persistently obstructed bladder, oligohydramnios causing pulmonary hypoplasia, and the presence of associated fetal or chromosomal anomalies. We report a case in which a male fetus at 14 weeks' gestation had a diagnosis of rapidly progressing bilateral hydronephrosis, massive bladder dilatation, hydroureter, and a surprisingly normal amniotic fluid volume. Serial sonographic surveillance assisted us in obtaining the correct diagnosis, which was important for adequately consulting the patient regarding the fetal prognosis in the affected index pregnancy as well as the likelihood of recurrence in future gestations. |
| Databáze: | OpenAIRE |
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