The Fate of Infant Kidneys with Fetal Hydronephrosis but Initially Normal Postnatal Sonography

1989 ◽  
Vol 142 (2 Part 2) ◽  
pp. 661-662 ◽  
Author(s):  
Stephen W. Dejter ◽  
M. David Gibbons
Keyword(s):  
Diagnosis ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Elham Kebriyaei ◽  
Ali Davoodi ◽  
Seyed Alinaghi Kazemi ◽  
Zahra Bazargani

Abstract Objectives Renal anomalies are the most common fetal abnormalities that occur during prenatal development, and are typically detected by observing hydronephrosis on fetal ultrasound imaging. Follow-up with post-natal ultrasound is important to detect clinically-important obstruction, because many of the pre-natal abnormalities resolve spontaneously. This study aimed to evaluate the postnatal hydronephrosis follow-up rate, and reasons for non follow-up in affected neonates. Methods In this cross-sectional study all neonates born during a period of one year at Ayatollah Mousavi Hospital with hydronephrosis on fetal ultrasound imaging were recruited. All mothers were also given face-to-face information about fetal hydronephrosis and its postnatal outcomes, and follow-up with at least a postnatal ultrasound was recommended from the fourth day of their neonates’ birth until the end of the fourth week. The neonates were subsequently observed for one month to determine the postnatal ultrasound follow-up rate and to reflect on diagnostic test results, reasons for failure to follow-up, as well as causes of hydronephrosis. Results In this study, 71 cases (1.2%) out of 5,952 neonates had fetal hydronephrosis on prenatal ultrasound images. The postnatal ultrasound imaging showed kidney involvement in 18 neonates (25%), particularly in the left kidney (61.1%). Seven neonates had no follow-up at one month (10%). No significant relationship was found between lack of follow-up and the neonates’ place of residence (p=0.42), maternal education (p=0.90), number of siblings (p=0.33), or gender (p=0.64). Conclusions Postnatal ultrasound follow-up rate in these neonates with a history of fetal hydronephrosis was incomplete even though parents had been provided with education and advice at their birth time. Accordingly, it is recommended to perform postnatal ultrasound once neonates are discharged from hospitals.


2002 ◽  
Vol 12 (3) ◽  
pp. 196-200 ◽  
Author(s):  
J. M. Gloor ◽  
P. S. Ramsey ◽  
P. L. Ogburn ◽  
D. R. Danilenko-Dixon ◽  
C. S. DiMarco ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Adnan Safdar ◽  
Kristianna Singh ◽  
Raphael C. Sun ◽  
Ahmed A. Nassr

Medicines ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 5
Author(s):  
Ratna Acharya ◽  
Romano DeMarco ◽  
Kiran Upadhyay

Background: Posterior urethral valves (PUVs) are usually suspected during antenatal sonograms or by postnatal evidence of bilateral hydronephrosis with enlarged bladder. Gross hematuria as an initial manifestation of PUV with a history of normal antenatal sonogram is very rare. Methods: This is a retrospective chart study. Results: We describe a nine-day-old male neonate who presented with gross hematuria and was later found to have a urinary tract infection (UTI) and severe acute kidney injury (AKI). The mother apparently had normal antenatal sonograms with no evidence of fetal hydronephrosis. The child did not have postnatal renal bladder sonogram done until gross hematuria occurred at Day 9 of life. Sonogram showed bilateral severe hydronephrosis and hydroureter with enlarged bladder. The patient underwent ablation of the PUVs after initial bladder decompression with indwelling urethral catheterization. His AKI resolved after prompt treatment of UTI and PUV ablation. Conclusions: This report emphasizes the importance of a high index of suspicion for obstructive uropathy in a newborn with gross hematuria irrespective of prenatal sonogram findings.


1991 ◽  
Vol 1 (6) ◽  
pp. 413-416 ◽  
Author(s):  
S. Gudmundsson ◽  
M. Neerhof ◽  
S. Weinert ◽  
G. Tulzer ◽  
D. Woods ◽  
...  

2015 ◽  
Vol 29 (7) ◽  
pp. 1113-1116 ◽  
Author(s):  
Ali Seven ◽  
Bircan Savran ◽  
Emel Koçak ◽  
Sermin Tok ◽  
Kadriye Beril Yüksel ◽  
...  

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Marie Oscarsson ◽  
Tomas Gottvall ◽  
Katarina Swahnberg

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