Bilateral hydroureters and hydronephrosis in a neonate.
Arch Dis Child Educ Pract Ed
; 103(1): 20-21, 2018 Feb.
Article
em En
| MEDLINE
| ID: mdl-27742721
ABSTRACT
A newborn boy was diagnosed antenatally with bilateral hydronephrosis. Postnatal renal ultrasound scan (USS) measured a renal pelvic anteroposterior diameter (APD) of 12â
mm on the left side and 7â
mm on the right side. The baby had good urine stream. Parents missed the repeat USS at the age of 1â
week. An ultrasound done at 4â
weeks revealed progressive hydronephrosis, bilateral hydroureters, with increased renal echogenicity. Normal bladder wall thickness was noted but two intravesical lesions were seen (figures 1 and 2). The APD was 13.5 and 11â
mm on the left and right side, respectively.edpract;103/1/20/EDPRACT2016311091F1F1EDPRACT2016311091F1Figure 1Renal ultrasound scan of (A) left kidney (LT) and (B) right kidney (RT) showing bilateral hydronephrosis (white arrows) and hydroureters (red arrow). Increased renal echogenicity is not shown in the figure.edpract;103/1/20/EDPRACT2016311091F2F2EDPRACT2016311091F2Figure 2Showing normal bladder wall thickness but two intravesical lesions were seen (white arrows). QUESTION How would you describe the intravesical lesions in figure 2? Bilateral ureterocelesBilateral vesicoureteral reflux (VUR)Bilateral pelvi-ureteric junction obstructionPosterior urethral valves (PUVs)Which complication(s) may you expect in such cases? Urinary tract infection (UTI)Obstructive voiding symptomsFailure to thriveUreteral calculusAll of the aboveHow would you treat this problem? Endoscopic punctureDeflux surgeryPyeloplastyVesicostomy Answers are on page âªâªâª.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hidronefrose
/
Rim
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
Arch Dis Child Educ Pract Ed
Assunto da revista:
PEDIATRIA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Omã