Üçüncü basamak bir merkezin bofl fetal renal fossa sonuçları

Özet

Amaç: Amac›m›z, 2020 y›l›nda hastanemizin perinatoloji poliklini¤ inde gerçeklefltirilen ultrason muayenelerinde bofl renal fossan› n (BRF) yer ald›¤› anomalileri sunmakt›r. Yöntem: Kayseri fiehir Hastanesi Perinatoloji Poliklini¤inde 1 Ocak – 31 Aral›k 2020 tarihleri aras›nda yap›lan ultrason muayenesi talepleri sonucunda 1961 gebede 2405 ultrason muayenesi gerçeklefltirildi. Hastanemizden al›nan etik kurul onay› sonras›nda hastalar›n raporlar› retrospektif olarak analiz edildi. Tüm ultrason muayeneleri, Samsung HS70A (Hampshire, Birleflik Krall›k), prob CA 1-7A kullanan deneyimli bir perinatolog taraf›ndan gerçeklefltirildi. Bofl renal fossa tan›s› alan fetüsler efllik eden anomaliler için tarand› ve tespit edilen anomaliler kaydedildi. Bulgular: Gebeler 13 ile 34 (ortalama 23.9) yafl aras›ndayd› ve gebelik haftalar› 17 ile 34 hafta aras›ndayd›. Bofl renal fossa insidans› tüm gebeler için %0.75 olarak bulundu. Bofl renal fossa bulgusu toplam 15 fetüste gözlemlendi. Dört fetüste (%0.20) at nal› böbrek anomalisi, befl fetüste (%0.25) bilateral renal agenezi, iki fetüste (%0.10) sol renal agenezi, üç fetüste (%0.15) pelvik böbrek (sa¤- da bir ve solda iki tane) ve bir fetüste (%0.05) çapraz kaynaflm›fl ektopik böbrek anomalisi mevcuttu. Sonuç: Anhidramniyoz ile birlikte görülen BRF’nin nedeni bilateral renal agenezidir. Normal amniyotik s›v› varl›¤›nda çeflitli nedenlerden dolay› BRF düflünülmelidir ve prognoz efllik eden anomalilere göre de¤iflebildi¤inden, prenatal tan› do¤rulu¤unu art›rmam› z gerekmektedir.

Abstract

Objective: Our aim is to present the anomalies included empty renal fossa (ERF) in the ultrasonographic examination performed in the perinatology outpatient clinic of our hospital in 2020. Methods: Ultrasonography requests were made in Kayseri City Hospital Perinatology Outpatient Clinic between January 1 and December 31, 2020, and 2405 ultrasonographic examinations were performed on 1961 pregnant women. The reports of the patients were analyzed retrospectively after the ethics committee approval of our hospital was obtained. All ultrasonographic examinations were performed by an experienced perinatologist using Samsung HS70A (Hampshire, UK), probe CA 1-7A. The fetuses diagnosed with empty renal fossa were screened in terms of accompanying anomalies and the detected anomalies were noted. Results: Pregnant women were between 13 and 34 (mean 23.9) years old and their gestational ages were between 17 and 34 weeks. The incidence of ERF was found to be 0.75% for all pregnant women. An ERF finding was observed in a total of 15 fetuses. Horseshoe kidneys were present in four fetuses (0.20%), bilateral renal agenesis was present in five fetuses (0.25%), left renal agenesis was present in two fetuses (0.10%), pelvic kidneys (one on the right and two on the left) were present in three fetuses (0.15%), and crossed fused ectopic kidney was present in one fetus (0.05%). Conclusion: The cause of ERF seen with anhydramnios is bilateral renal agenesis. In the presence of normal amniotic fluid, it should be considered that ERF may be due to various reasons and since the prognosis may change according to the accompanying anomalies, we must increase the accuracy of prenatal diagnosis