| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
|
|
|
|
|||||||||||||
|
|
|||||||||||||||
a Department of
Paediatrics Whittington Hospital NHS Trust
Highgate Hill, London N19 5NF, b Department
of Radiology, c Department of Obstetrics and Gynaecology
Correspondence to: Dr Jaswon.
Accepted 11 September
1998
AIMS
To ascertain the
outcome associated with antenatal renal pelvis dilatation; to recommend
guidelines for postnatal investigation and determine an upper limit of
normal for the anterioposterior dimensions of the fetal renal pelvis.
METHODSInfants whose
antenatal ultrasound scan showed a fetal renal pelvis of 5 mm or
greater were investigated using postnatal renal tract ultrasound and a
micturating cystogram. Isotope studies were also performed, where appropriate.
RESULTSVesicoureteric
reflux (VUR), the most common diagnosis, was evident in 23/104 (22%).
In 14 infants with VUR the postnatal ultrasound scan was normal. There
was no evidence of renal scarring or dysplasia in any of the refluxing
kidneys. Other diagnoses were pelviureteric junction obstruction, renal
dysplasia, and idiopathic dilatation. Antenatal counselling and
parental information facilitated postnatal assessment.
CONCLUSIONSInfants
with antenatal renal pelvis measurements of 5 mm or greater should be
investigated postnatally, as a significant percentage will have VUR. A
normal postnatal ultrasound scan does not preclude the presence of VUR.
This article has been cited by other articles:
|
|
 |
|
  R. S. Lee, M. Cendron, D. D. Kinnamon, and H. T. Nguyen Antenatal Hydronephrosis as a Predictor of Postnatal Outcome: A Meta-analysis Pediatrics, August 1, 2006; 118(2): 586 - 593. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P A BROGAN and J CHIYENDE Antenatally diagnosed renal pelvis dilatation Arch. Dis. Child. Fetal Neonatal Ed., March 1, 2000; 82(2): 171F - 171. [Full Text]
|
|
|
|
|
|
M. S JASWON Outcome in antenatally diagnosed renal pelvis dilatation Arch. Dis. Child. Fetal Neonatal Ed., January 1, 2000; 82(1): 77F - 77. [Full Text]
|
|
|
|
|
|
R M NICHOLL Antenatally diagnosed renal pelvis dilatation Arch. Dis. Child. Fetal Neonatal Ed., September 1, 1999; 81(2): 159F - 159. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS | REGISTER |
| ARCH DIS CHILD | FETAL NEONATAL ED | ED PRACTICE |
