ULTRASOUND DETECTION OF RENAL ANOMALIES ANTENATALLY AND POSTNATAL OUTCOME
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2014, Vol 1, Issue 14
Abstract
To study the outcome of antenatally detected fetal renal tract anomalies by II/III trimester ultrasound and its co-relation postnatally. METHODS: Prospective longitudinal study between Jan- Dec 2009 conducted at Govt. Medical College Kozhikode, Kerala, India. 100 antenatal women with isolated renal anomaly in II/III Trimester were followed up. On confirmation of anomaly, renal function tests, MCU and isotope scanning were done as indicated. Neonates were scanned at end of first week of life Post natal follow up ranged between 6 weeks to 8 months. RESULTS: The incidence of fetal urinary tract anomalies was 0.75%. 88% were male babies, 45% had bilateral renal involvement. Hydronephrosis was the most common abnormality detected (79%) with good co-relation with final diagnosis (p=0.00001).On evaluation of babies with moderate -severe hydronephrosis; persisting abnormality was seen in 17.4% and 1.1% respectively. 20% (19) of babies with severe abnormalities needed confirmatory tests and 10% (10) had elevated RFT (p=0.0092) and UTI (p=0.001). 8.6% (8) of babies needed surgical intervention (PUV-6,Grade V-VUR-1,Duplex collecting system-1). CONCLUSIONS: Majority of renal anomalies found in male babies. Mild hydronephrosis resolved in 85%. Moderate - severe hydronephrosis associated with pathology postnatal. Valve ablation in PUV and unilateral MCDK showed good prognosis.
Authors and Affiliations
Jyoti Ramesh Chandran
Keywords
Related Articles
- EP ID EP227097
- DOI 10.18410/jebmh/2014/268
- Views 89
- Downloads 0
MINIMALLY-INVASIVE FIXATION OF SPINAL CORD INJURY PATIENT USING MIDLINE INCISION- AN ANALYSIS OF 11 CASES
BACKGROUND Instrumenting the fractured spinal column has seen many changes in last 5 decades. Starting from Luque’s rod (Dr. Eduardo Luque), Hartshill’s rectangle, the Harrington rod (Dr. Paul Harrington), Variable Spina...
DISSEMINATED INFECTIONS AS CAUSE OF DEATH DETECTED AT ORGAN AUTOPSY- 2- YEAR STUDY
BACKGROUND Tuberculosis and Malaria are among the leading causes of infectious disease-related deaths worldwide. Plasmodium falciparum is almost always responsible for the most severe cases of malaria, leading to multi o...
FUNCTIONAL ANALYSIS OF PROXIMAL FEMORAL FRACTURES TREATED WITH PROXIMAL FEMORAL NAIL
BACKGROUND Intertrochanteric femoral fractures are of intense interest globally. They are the most frequently operated fractures and they have the highest postoperative fatality rate of surgically-treated fractures and h...
EVALUATION OF ANAEMIA IN PREGNANT WOMEN
India is one of the countries with largest prevalence of anaemia. This is despite the NNAPP- National Nutritional Anaemia Prophylaxis Programme under the Ministry of Health and Family Welfare. Anaemia in pregnancy is con...
TO COMPARE THE SAFETY AND EFFICACY OF THREE DIFFERENT, PROTON PUMP INHIBITORS OMEPRAZOLE, ESOMEPRAZOLE AND RABEPRAZOLE IN A TRIPLE DRUG REGIMEN IN PATIENTS WITH PEPTIC ULCER DISEASE IN THE ERADICATION OF H. PYLORI INFECTION
Peptic ulcer disease continues to be issue especially due to its high prevalence in the developing world. Helicobacter pylori (H. pylori) infection associated duodenal ulcers should undergo eradication therapy. There are...