Bilateral hydroureters and hydronephrosis in a neonate

A newborn boy was diagnosed antenatally with bilateral hydronephrosis. Postnatal renal ultrasound scan (USS) measured a renal pelvic anteroposterior diameter (APD) of 12 mm on the left side and 7 mm on the right side. The baby had good urine stream. Parents missed the repeat USS at the age of 1 week...

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Bibliographic Details
Published inArchives of disease in childhood. Education and practice edition Vol. 103; no. 1; pp. 20 - 21
Main Authors Rabah, Fatma, Al-Nabhani, Dana
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.02.2018
Subjects
Bladder
Endoscopy
Humans
Hydronephrosis - diagnosis
Hydronephrosis - surgery
Infant, Newborn
Kidney - diagnostic imaging
Kidney - physiopathology
Kidney - surgery
Male
Newborn babies
Pediatrics
Treatment Outcome
Ultrasonography, Prenatal
Urology
Oman
Paediatric Surgery
Nephrology
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Summary:A newborn boy was diagnosed antenatally with bilateral hydronephrosis. Postnatal renal ultrasound scan (USS) measured a renal pelvic anteroposterior diameter (APD) of 12 mm on the left side and 7 mm on the right side. The baby had good urine stream. Parents missed the repeat USS at the age of 1 week. An ultrasound done at 4 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 11 mm on the left and right side, respectively.Figure 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.Figure 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 surgeryPyeloplastyVesicostomyAnswers are on page ▪▪▪
Bibliography:ObjectType-Case Study-2
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ISSN:1743-0585
1743-0593
DOI:10.1136/archdischild-2016-311091