Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.4/922
Título: História natural da dilatação pielocalicial pré-natal
Outros títulos: Natural history of fetal pyelocaliectasia
Autor: Franco, S
Carvalho, G
Antunes, A
Brito, M
Morais, C
Barros, JS
Palavras-chave: Doenças Fetais
Doenças do Rim
Data: 2005
Citação: Acta Med Port. 2005 May-Jun;18(3):169-76.
Resumo: INTRODUCTION: It is estimated that genitourinary anomalies comprise 20% of all antenatally detected fetal anomalies, and pyelocaliectasia is the most common one. Detection of antenatal dilatation of the urinary tract does not always indicate postnatal urinary tract obstruction or even a significant genitourinary anomaly. Most cases will improve spontaneously, representing a temporary physiologic impedence and do not require surgery. MATERIALS AND METHODS: In a two-year period we studied 197 newborns, with prenatal pyelocaliectasia, without concomitant anomaly, delivered at Maternidade Dr. Daniel de Matos. In the postnatal follow-up period, the infants were followed at Pediatrics Department, at our Center. RESULTS: A male predilection was found. Ultrasonic follow-up of the 197 infants showed that pyelocaliectasia resolved in 97%, while 3% still presented it in the postnatal ultrasound. Complementary renal evaluation, with voiding cystourethrography and radionuclide imaging, was realised in 29 (15%) infants to further characterize the abnormality detected in postnatal ultrasound. Surgery was performed in four (2%) children. CONCLUSION: Prenatally diagnosed pyelocaliectasia may be safely observed, and surgical correction should be performed only if renal compromise occurs.
Peer review: yes
URI: http://hdl.handle.net/10400.4/922
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