Abstract
Ultrasound examinations during pregnancy are performed partly as a routine and partly on specific indications. Nineteen fetuses with intrauterine hydronephrosis were diagnosed during a 4-year period; 15 were inborns at the Department of Obstetrics in Lund and 4 were referred from other hospitals. Three cases were diagnosed at the first routine screening in the 17th week of gestation and the remaining 16 at a later screening examination at 32 – 36 weeks gestation. The size of the renal pelvis was measured at two perpendicular diameters in a transverse scan of the fetal abdomen. All infants were examined during the 1st week postpartum and re-examined within the 1st month of life with ultrasound and intravenous urography. Increasing dilatation of the renal pelvis was an indication for operation. There were no false-positive cases. A significant correlation between the measured mean diameter of the renal pelvis and postnatal treatment was found. When the antenatal pelvic diameter is more than 10 mm careful postpartum controls are recommended. All kidneys with a pelvic diameter of more than 20 mm were operated upon.
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Duval JM, Milon J, Coadou Y, Blouet JM, Langella B, Bourgin T, Nicolas JC, Fremond B, Duval JC, Jouan H (1985) Ultrasonographic anatomy and diagnosis of fetal uropathies affecting the upper urinary tract. Anat Clin 7: 301–332
Flake AW, Harrison MR, Sauer L, Adzick NS, deLorimier AA (1986) Ureteropelvic junction obstruction in the fetus. J Pediatr Surg 21: 1058–1063
Grignon A, Filion R, Filiatrault D, Robitaille P, Homsy Y, Boutin H, Leblond R (1986) Urinary tract dilatation in utero: classification and clinical applications. Radiology 160: 645–647
Grignon A, Filiatrault D, Homsy Y, Robitaille P, Filion R, Boutin H, Leblond R (1986) Ureteropelvic junction stenosis: antenatal ultrasonographic diagnosis, postnatal investigation, and follow-up. Radiology 160: 649–651
Gruenewald SM, Crocker EF, Walker AG, Trudinger BJ (1984) Antenatal diagnosis of urinary tract abnormalities: correlation of ultrasound appearance with postnatal diagnosis. Am J Obstet Gynecol 148: 278–283
Hadlock FP, Deter RL, Carpenter R, Gonzales ET, Park SK (1981) Sonography of fetal urinary tract abnormalities. AJR 137: 261–267
Harrison MR, Golbus MS, Filly RA, Nakayama DK, Callen PW, deLorimier AA, Hricak H (1982) Management of the fetus with congenital hydronephrosis. J Pediatr Surg 17: 728–740
Helin I, Persson P-H (1986) Prenatal diagnosis of urinary tract abnormalities by ultrasound. Pediatrics 78: 879–883
Hellstrom WJG, Kogan BA, Jeffrey RB, McAninch JR, McAninch JW (1984) The natural history of prenatal hydronephrosis with normal amount on amniotic fluid. J Urol 132: 947–950
Jeanty P, Dramaix-Wilment M, Elkhazen N, Hubiont C, van Regemorter N (1982) Measurement of fetal kidney growth on ultrasound. Radiology 144: 159–162
Jörgensen C, Uddenberg N, Ursing I (1985) Diagnosis of fetal malformation in the 32nd week of gestation. A psychological challenge to the woman and the doctor. J Psychosom Obstet Gynaecol 4: 73–82
Kullendorff CM, Jörgensen C (1986) The diagnosis and course of antenatal urinary tract dilatation. Z Kinderchir 41: 104–106
Kullendorf CM, Larsson LT, Jörgensen C (1984) The advantage of antenatal diagnosis of intestinal and urinary tract malformation. Br J Obstet Gynaecol 91: 144–147
Kurjak A, Latin V, Mandruzzato G, D'Addario V, Rajhvajn B (1984) Ultrasound diagnosis and perinatal management of fetal genito-urinary abnormalities. J Perinat Med 12: 291–312
Seeds JW, Mittelstaedt CA, Mandell J (1986) Pre- and postnatal ultrasonographic diagnosis of congenital obstructive uropathies. Urol Clin North Am 13: 131–154
Selvaggi L, Loverro G, Pace G, Bettocchi C, Selvaggi FP (1985) The role of prenatal diagnosis in the perinatal management of urinary tract abnormalities. J Perinat Med 13: 79–85
Touloukian RJ, Hobbins JC (1980) Maternal ultrasonography in the antenatal diagnosis of surgically correctable fetal abnormalities. J Pediatr Surg 15: 373–377
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Jörgensen, C., Kullendorff, CM. Ultrasound diagnosis of fetal hydronephrosis: fetal renal pelvic size correlated to postnatal outcome. Pediatr Surg Int 4, 114–117 (1989). https://doi.org/10.1007/BF00181848
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DOI: https://doi.org/10.1007/BF00181848