Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Prune-belly syndrome: Therapeutic options including in utero placement of a vesicoamniotic shunt
Autore:
Leeners, B; Sauer, I; Schefels, J; Cotarelo, CL; Funk, A;
Indirizzi:
Rhenish Westphalian Tech Univ Hosp Aachem, Dept Obstet & Gynaecol, D-52057Aachen, Germany Rhenish Westphalian Tech Univ Hosp Aachem Aachen Germany D-52057 Germany Rhenish Westphalian Tech Univ Hosp Aachem, Dept Neonatol, D-52057 Aachen, Germany Rhenish Westphalian Tech Univ Hosp Aachem Aachen Germany D-52057 Germany Rhenish Westphalian Tech Univ Hosp Aachem, Inst Pathol, D-52057 Aachen, Germany Rhenish Westphalian Tech Univ Hosp Aachem Aachen Germany D-52057 Germany
Titolo Testata:
JOURNAL OF CLINICAL ULTRASOUND
fascicolo: 9, volume: 28, anno: 2000,
pagine: 500 - 507
SICI:
0091-2751(200011/12)28:9<500:PSTOII>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
FETAL OBSTRUCTIVE UROPATHY; URINARY-TRACT OBSTRUCTION; INTERVENTION; DIAGNOSIS; PATHOGENESIS; FETUS;
Keywords:
prune-belly syndrome; fetal surgery; vesicoamniotic; shunt; megalocystis; fetal renal function; ultrasonography;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Leeners, B Rhenish Westphalian Tech Univ Hosp Aachem, Dept Obstet & Gynaecol, Pauwelsstr 30, D-52057 Aachen, Germany Rhenish Westphalian Tech Univ Hosp Aachem Pauwelsstr 30 Aachen Germany D-52057
Citazione:
B. Leeners et al., "Prune-belly syndrome: Therapeutic options including in utero placement of a vesicoamniotic shunt", J CLIN ULTR, 28(9), 2000, pp. 500-507

Abstract

The prune-belly syndrome (PBS) consists of abdominal wall distention with deficiency of the abdominal wall musculature, urinary tract abnormalities, and cryptorchidism. The impaired drainage of the bladder leads to oligohydramnios and pulmonary hypoplasia. We present 4 cases of PBS diagnosed by prenatal sonography. In 2 cases, vesicoamniotic shunt therapy was not indicated because of a poor prognosis based on sonographic and laboratory findings;the pregnancies were terminated. In another case, treatment was not performed because of a twin pregnancy, and the neonate with PBS died the day of delivery by cesarean section at 31 weeks' menstrual age. In the other case, vesicoamniotic shunt therapy was successfully performed, and a healthy child was delivered. Several conditions must be met for vesicoamniotic shunt therapy to have a good chance of success: the karyotype must be normal, othermalformations must be excluded by careful sonographic examination, and renal function must be normal, as determined by serial analyses of fetal urine. Generally, the shunt should be inserted as early as possible. (C) 2000 John Wiley & Sons, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 12:33:41