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Journals / Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2016 / Cilt: 27 - Sayı: 2

İzole Fetal Piyelektazi Olgularında Antepartum Seyir ve Takip

Antepartum Course and Follow-up in Patients with Isolated Pyelectasis

Esra Esim BÜYÜKBAYRAK
A Yasemin KARAGEYİM
Seda SUBAŞ
Burak GİRAY
Pages
103–106
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Progressive and bilateral pyelectasis may be predictive of postnatal uropathy

📌 3 Key Takeaways

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Objective & Hypothesis:Background: The present study examined the progression of fetal pyelectasis detected in patients during antenatal period and its relationship to postnatal urinary tract pathology.Methods: Medical records of 10 patients in whom isolated fetal pyelectasis (defined as anteroposterior [AP] diameter of renal pelvis of 5 mm or greater in the second trimester and 7 mm or greater in the third trimester) was detected in prenatal sonographic examination at perinatology clinic between January 2013 and August 2014 were retrospectively reviewed.
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Key Findings & Data:Fetuses with additional congenital anomalies or aneuploidy were excluded.Results: Nine fetuses were male and 1 was female.
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Conclusion & Impact:Progressive and bilateral pyelectasis may be predictive of postnatal uropathy
🔬Design:Review & Systematic Survey
📍Scope:2013 Verileri
⚙️Variables:Domain Parameters

Abstract

Background: The present study examined the progression of fetal pyelectasis detected in patients during antenatal period and its relationship to postnatal urinary tract pathology.Methods: Medical records of 10 patients in whom isolated fetal pyelectasis (defined as anteroposterior [AP] diameter of renal pelvis of 5 mm or greater in the second trimester and 7 mm or greater in the third trimester) was detected in prenatal sonographic examination at perinatology clinic between January 2013 and August 2014 were retrospectively reviewed. Fetuses with additional congenital anomalies or aneuploidy were excluded.Results: Nine fetuses were male and 1 was female. Fetal renal pelvis AP diameter was 15 mm in 2 patients (20%). Six patients (60%) had unilateral and 4 (40%) had bilateral pyelectasis. Progression of pyelectasis in those 4 patients was followed during pregnancy. After birth, ultrasonographic (US) findings of ureteropelvic junction stenosis (UPJ) (n=1), urethrocele (n=1), vesicoureteral reflux (VUR) (n=1), and posterior urethral valves (PUV) and VUR (n=1).Conclusion: Serial US examinations are important in followup of patient with fetal pyelectasis. Progressive and bilateral pyelectasis may be predictive of postnatal uropathy

Özet

Amaç: Antenatal dönemde piyelektazi saptanan olguların doğum öncesi seyri ve postnatal dönemde üriner sistem patolojileriyle ilişkisini göstermek.Gereç ve Yöntem: Perinatoloji polikliniğinde Ocak 2013 Ağustos 2014 tarihleri arasında izole fetal piyelektazi tanısı almış (renal pelvis ön arka çapı ikinci trimesterde >=5 mm, üçüncü trimesterde >=7 mm) 10 hasta geriye dönük olarak değerlendirildi. Fetal doğumsal anomali ve fetal kromozom anomalisi olan olgular çalışmaya dahil edilmedi.Bulgular: Fetusların dokuzu erkek, biri kızdı. Renal pelvis ön arka çapı beş hastada (%50) 10 mm altında, üç hastada (%30) 10-15 mm arasında, iki hastada (%20) 15 mm üzerindeydi. Pyelektazi altı hastada (%60) tek taraflı, dört hastada (%40) çift taraflıydı. Dört hastada fetal piyelektazi gebelik süresince ilerleyici seyir izledi. Bir bebekte ureteropelvik bileşek (UPJ) darlığı, bir bebekte üretrosel, bir bebekte vesikoüreteral reflü (VUR) ve bir bebekte hem posterior üretral valv (PUV) hem de VUR saptandı.Sonuç: Fetal piyelektazi olgularının takibinde seri ultrasonografi önemlidir. İlerleyici ve iki taraflı piyelektazi varlığı postnatal ürolojik anomaliler için belirleyici olabilir

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Cite This Article

BÜYÜKBAYRAK, E. E., KARAGEYİM, A. Y., SUBAŞ, S., GİRAY, B. (2022). İzole Fetal Piyelektazi Olgularında Antepartum Seyir ve Takip. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 27 - Sayı: 2, 103–106. https://ajindex.com/articles/563200

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