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Titolo:
PRENATAL FAILURE TO VISUALIZE KIDNEYS - A SPECTRUM OF DISEASE
Autore:
LATINI JM; CURTIS MR; CENDRON M; CROW HC; BAKER E; MARINPADILLA M;
Indirizzi:
DARTMOUTH COLL,HITCHCOCK MED CTR,DEPT SURG,UROL SECT,1 MED CTR DR LEBANON NH 03756 DARTMOUTH COLL,HITCHCOCK MED CTR,DEPT SURG,UROL SECT LEBANON NH 03756 DARTMOUTH COLL,HITCHCOCK MED CTR,DEPT RADIOL LEBANON NH 03756 DARTMOUTH COLL,HITCHCOCK MED CTR,DEPT OBSTET & GYNECOL LEBANON NH 03756 DARTMOUTH COLL,HITCHCOCK MED CTR,DEPT PATHOL LEBANON NH 03756
Titolo Testata:
Urology
fascicolo: 2, volume: 52, anno: 1998,
pagine: 306 - 311
SICI:
0090-4295(1998)52:2<306:PFTVK->2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
BILATERAL RENAL AGENESIS; TRANSVAGINAL SONOGRAPHY; DIAGNOSIS; ULTRASONOGRAPHY; ULTRASOUND;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
J.M. Latini et al., "PRENATAL FAILURE TO VISUALIZE KIDNEYS - A SPECTRUM OF DISEASE", Urology, 52(2), 1998, pp. 306-311

Abstract

Objectives. To better understand the outcomes and management of patients when there is a failure to visualize kidneys on prenatal ultrasound. Methods. Nine thousand five hundred twelve prenatal ultrasound studies performed on 4900 patients were reviewed retrospectively for the findings of a failure to visualize kidneys. The prenatal ultrasounds, pregnancy outcomes, and postmortem studies were reviewed for each of the 10 patients identified. Results. Nine of 10 patients experienced fetal death in the index pregnancy: 7 had therapeutic abortions, 1 had anintrauterine fetal demise, and 1 gave birth to a stillborn infant. One patient gave birth to a live infant with Bartter's syndrome and grossly normal kidneys, as diagnosed by ultrasound. Developmental renal anomalies were identified in only 4 of 10 cases, and only 2 patients hadtrue bilateral renal agenesis. There was 1 case each of bilateral renal medullary cystic dysplasia and bilateral renal hypoplasia. Three cases had no renal anomalies and included 1 case each of Turner's syndrome, chronic abruption, and a cord accident. In 2 cases, postmortem examinations were not performed because of family wishes. Conclusions. Prenatal failure to visualize kidneys represents a spectrum of clinical problems not all of which are fatal. Close consultation with an experienced ultrasonographer is essential to provide informed counseling to expectant parents. Pathologic examination should be recommended when there is fetal demise and a suspicion of genitourinary anomalies. Screening of family members of the index patient and genetic counseling maybe indicated. UROLOGY 52: 306-311, 1998. (C) 1998, Elsevier Science Inc. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/10/20 alle ore 23:47:05