SavedAdd your journal

Journals / Zeynep Kamil medical journal (Online) / 2021 / Cilt: 52 - Sayı: 3

Ectopic pelvic kidney: Prenatal diagnosis and management

Gürcan TÜRKYILMAZ
Bilal ÇETİN
Pages
147–151
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

All cases should be followed up after delivery in terms of accompanying anomalies.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Ectopic pelvic kidney (EPK) is one of the most frequent renal anomalies detected in newborns as 1/500–700.
📊
Key Findings & Data:Material and Methods: Twelve cases were recruited for this study between January 2018 and June 2020 in Van Training and Research Hospital.
💡
Conclusion & Impact:All cases should be followed up after delivery in terms of accompanying anomalies.
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: Ectopic pelvic kidney (EPK) is one of the most frequent renal anomalies detected in newborns as 1/500–700. Although it is generally asymptomatic, its association with recurrent urinary infections, vesicoureteral reflux, predisposition to stone formation, and genital anomalies has been shown. This study aimed to present the prenatal findings and postnatal outcomes of cases diagnosed with unilateral EPK. Material and Methods: Twelve cases were recruited for this study between January 2018 and June 2020 in Van Training and Research Hospital. EPK diagnosis was achieved if the kidney was located in the pelvis, the separation of the kidney-specific cortex-medulla was present, and the renal pelvis was detected. EPK diagnosis was confirmed by renal USG in all cases postnatally. Long-term results of all cases were analyzed retrospectively from patients records. Statistical analysis was achieved by calculating the mean and standard deviation values with the Statistical Package for Social Sciences (SPSS 20), Chicago, USA. Results: Mean gestational age at diagnosis week was 25.2±4.2 weeks. Left EPK was detected in 7 (58.3%) and right EPK in 5 (41.7%) cases. Pelvis dilatation was detected in EPK in 2 (16.6%) cases and the kidney versus 3 (25%) fetuses. An additional structural anomaly was observed in 1 (8.3%) case. A genital anomaly was not observed in any case during the prenatal period. The mean follow-up interval was 11.2±2.8 months. 7 (58.3%) were female, and 5 (41.7%) were male. Renal functions were normal in all cases. A total of 3 (25%) cases, including Grade-1 vesicoureteral reflux in one case, recurrent urinary infection in 1 case, and hypospadias in one case, anomaly associated with EPK was detected. Conclusion: The presence of EPK should be investigated in all fetuses with an empty renal fossa in the prenatal period. All cases should be followed up after delivery in terms of accompanying anomalies.

🔖

Cite This Article

TÜRKYILMAZ, G., ÇETİN, B. (2022). Ectopic pelvic kidney: Prenatal diagnosis and management. Zeynep Kamil medical journal (Online), Cilt: 52 - Sayı: 3, 147–151. https://ajindex.com/articles/426148

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Guarino N, Tadini B, Camardi P, Silvestro L, Lace R, Bianchi M. The incidence of associated urological abnormalities in children with renal ectopia. J Urol 2004;172(4):1757–9; discussion 1759
  2. Meizner I, Barnhard Y. Bilateral fetal pelvic kidneys: Documentation of two cases of a rare prenatal finding. J Ultrasound Med 1995;14(6):487– 9
  3. Sheih CP, Liu MB, Hung CS, Yang KH, Chen WY, Lin CY. Renal abnormalities in schoolchildren. Pediatrics 1989;84(6):1086–90
  4. Yuksel A, Batukan C. Sonographic findings of fetuses with an empty renal fossa and normal amniotic fluid volume. Fetal Diagn Ther 2004;19(6):525–32
  5. Nguyen HT, Benson CB, Bromley B, Campbell JB, Chow J, Coleman B, et al. Multidisciplinary consensus on the classification of prenatal and postnatal urinary tract dilation (UTD classification system). J Pediatr Urol 2014;10(6):982–98
  6. Boer DP, de Rijke YB, Hop WC, Cransberg K, Dorresteijn EM. Reference values for serum creatinine in children younger than 1 year of age. Pediatr Nephrol 2010;25(10):2107–13
  7. Hill LM, Grzybek P, Mills A, Hogge WA. Antenatal diagnosis of fetal pelvic kidneys. Obstet Gynecol 1994;83(3):333–6
  8. Meizner I, Yitzhak M, Levi A, Barki Y, Barnhard Y, Glezerman M. Fetal pelvic kidney: A challenge in prenatal diagnosis? Ultrasound Obstet Gynecol 1995;5(6):391–3
  9. Arena F, Arena S, Paolata A, Campenni A, Zuccarello B, Romeo G. Is a complete urological evaluation necessary in all newborns with asymptomatic renal ectopia? Int J Urol 2007;14(6):491–5
  10. Sagi-Dain L, Singer A, Frumkin A, Shalata A, Koifman A, Segel R, et al. Chromosomal microarray findings in pregnancies with an isolated pelvic kidney. J Perinat Med 2018;47(1):30–4
  11. Bingham G, Leslie SW. Pelvic kidney. In: Stat Pearls. Treasure Island,FL: Stat Pearls Publishing; 2020
  12. Calisti A, Perrotta ML, Oriolo L, Ingianna D, Miele V. The risk of associated urological abnormalities in children with pre and postnatal occasional diagnosis of solitary, small or ectopic kidney: Is a complete urological screening always necessary? World J Urol 2008;26(3):281–4
  13. Gleason PE, Kelalis PP, Husmann DA, Kramer SA. Hydronephrosis in renal ectopia: Incidence, etiology and significance. J Urol 1994;151(6):1660–1
  14. Cinman NM, Okeke Z, Smith AD. Pelvic kidney: Associated diseases and treatment. J Endourol 2007;21(8):836–42
  15. Downs RA, Lane JW, Burns E. Solitary pelvic kidney. Its clinical implications. Urology 1973;1(1):51–6.