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História natural da dilatação pielocalicial pré-natal

dc.contributor.authorFranco, S
dc.contributor.authorCarvalho, G
dc.contributor.authorAntunes, A
dc.contributor.authorBrito, M
dc.contributor.authorMorais, C
dc.contributor.authorBarros, JS
dc.date.accessioned2010-12-22T15:36:50Z
dc.date.available2010-12-22T15:36:50Z
dc.date.issued2005
dc.description.abstractINTRODUCTION: 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.por
dc.identifier.citationActa Med Port. 2005 May-Jun;18(3):169-76.por
dc.identifier.urihttp://hdl.handle.net/10400.4/922
dc.language.isoporpor
dc.peerreviewedyespor
dc.subjectDoenças Fetaispor
dc.subjectDoenças do Rimpor
dc.subjectRecém-Nascidopor
dc.titleHistória natural da dilatação pielocalicial pré-natalpor
dc.title.alternativeNatural history of fetal pyelocaliectasiapor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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