Prenatal sonographic evaluation and postnatal outcome of renal anomalies
Objective: To determine the prognosis of antenatally detected renal anomalies by sonographic evaluation. Materials and Methods: This was a follow-up study of all antenatally detected renal anomalies from January 2008 to Dec 2009 referred to fetal medicine clinic. Prenatal evaluation was done and cas...
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Published in | Indian journal of human genetics Vol. 18; no. 1; pp. 75 - 82 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
India
Medknow Publications on behalf of Indian Society of Human Genetics
01.01.2012
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Medknow Publications & Media Pvt Ltd |
Subjects | |
Online Access | Get full text |
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Summary: | Objective: To determine the prognosis of antenatally detected renal
anomalies by sonographic evaluation. Materials and Methods: This was a
follow-up study of all antenatally detected renal anomalies from
January 2008 to Dec 2009 referred to fetal medicine clinic. Prenatal
evaluation was done and cases were divided into four groups depending
upon their prenatal sonographic findings. Post natal follow-up was done
up to one year in cases of live babies. Autopsy was carried out in
still born fetus after consent. Results: The renal anomaly was detected
in 55 cases, which were fully followed. The prognosis was said to be
poor for group I cases with gross extra renal anomaly along with the
renal anomaly, and for group II in which there was organic renal
pathology with loss of renal function suggested by non-visualization of
bladder and almost absent liquor. Prognosis was guarded and depended
upon the gestational age of presentation in group III, which had
obstructive uropathy; prognosis was good in group IV cases, which were
mild, unilateral or which presented late. Conclusion: Prenatal
sonographic evaluation gives reasonably accurate picture of the
prognosis and can be very helpful in counseling the parents regarding
prognosis and help in deciding the timing and route of delivery. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 |
ISSN: | 0971-6866 1998-362X |
DOI: | 10.4103/0971-6866.96656 |