scholarly journals Correlation of Antenatal Ultrasound Parameters with the Postnatal Outcome of Bilateral Fetal Hydronephrosis

2020 ◽  
Vol 70 (3) ◽  
pp. 202-207
Author(s):  
Priyanka Shukla ◽  
Manisha Kumar ◽  
Archana Puri ◽  
P. M. Siva
Ultrasound ◽  
2019 ◽  
Vol 27 (2) ◽  
pp. 127-130
Author(s):  
Sangeeta Pathak ◽  
Liliana Grosu

With advancing technology, it is becoming common for antenatal ultrasound to detect echogenic lesions in fetal abdomen. Paucity of data in this field, however, makes it difficult to counsel patients. We report four cases of fetal liver echogenic lesions, postnatal outcome (delivered during 2015–2016) and a literature review to increase awareness. Intrahepatic calcification is relatively common with an incidence of approximately 5–10 in 10,000 pregnancies. Prenatal detection of echogenic lesions in fetal abdomen causes huge anxiety and stress to parents; therefore, it is important for the ultrasonographers to be up to date with the evidence-based management of these lesions. Most lesions would carry no or little risk to neonate; however, few cases may require careful planning to optimise the time and place of delivery. We describe four cases between February 2015 and December 2016 using machine Voluson S6 and E8.


2001 ◽  
Vol 18 ◽  
pp. F64-F64 ◽  
Author(s):  
Y. K. Sohn ◽  
S. Y. Han ◽  
D. W. Chun ◽  
J. S. Park ◽  
J. K. Jun ◽  
...  

2009 ◽  
Vol 154 (1) ◽  
pp. 116-120 ◽  
Author(s):  
Vivian Yee-fong Leung ◽  
Winnie Chiu-wing Chu ◽  
Constantine Metreweli

2018 ◽  
Vol 41 (03) ◽  
pp. 278-285 ◽  
Author(s):  
Teresa Antonia Kiener ◽  
Christoph Wohlmuth ◽  
Christa Schimke ◽  
Martha Georgina Brandtner ◽  
Dagmar Wertaschnigg

Abstract Purpose Parents confronted with the finding of antenatal hydronephrosis (ANH) are particularly interested in whether their baby will need postnatal surgery. The objective of this study was to predict ANH requiring surgery on the basis of the fetal anteroposterior renal pelvic diameter (APRPD) and the Society for Fetal Urology (SFU) grading system. Materials and Methods The medical records of 179 patients with the finding of ANH were reviewed retrospectively. ANH was graded according to the SFU grading system. Prenatal ultrasound examinations were correlated to postnatal outcome, which was divided into three groups: prenatal resolution, conservative management and surgical treatment. Results 58 (32.4 %) cases were classified as prenatal resolution, 89 (49.7 %) babies were assigned to the conservative outcome group and 32 (17.9 %) patients needed surgical repair. Postnatal surgery was best predicted in the second trimester (area under the receiver operating characteristics curve: 0.839) by an APRPD cut-off of 8.3 mm (sensitivity: 77.8 %; specificity: 85.7 %; PPV of 53.9 %, NPV of 94.7 %). The combination of the parameters “progression of SFU grade” and SFU grade 3 or 4 achieved a sensitivity of 84.4 % and a specificity of 80.3 % for the prediction of surgery. Conclusion Second-trimester APRPD is a useful parameter for predicting the risk for postnatal surgery. The SFU grade should be assessed in every prenatal ultrasound examination as some further risk estimates can be made based on its dynamics over time.


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