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Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report

INTRODUCTION: Ultrasonography is used routinely during pregnancy to screen and detect fetal abnormalities. However, there are some conditions like anhydramnios (a prevalent state in renal agenesis) or maternal obesity that may limit the diagnostic accuracy of ultrasonography. Magnetic resonance imag...

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Autores principales: Gęca, Tomasz, Krzyżanowski, Arkadiusz, Stupak, Aleksandra, Kwaśniewska, Anna, Pikuła, Tomasz, Pietura, Radosław
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3976151/
https://www.ncbi.nlm.nih.gov/pubmed/24618008
http://dx.doi.org/10.1186/1752-1947-8-96
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author Gęca, Tomasz
Krzyżanowski, Arkadiusz
Stupak, Aleksandra
Kwaśniewska, Anna
Pikuła, Tomasz
Pietura, Radosław
author_facet Gęca, Tomasz
Krzyżanowski, Arkadiusz
Stupak, Aleksandra
Kwaśniewska, Anna
Pikuła, Tomasz
Pietura, Radosław
author_sort Gęca, Tomasz
collection PubMed
description INTRODUCTION: Ultrasonography is used routinely during pregnancy to screen and detect fetal abnormalities. However, there are some conditions like anhydramnios (a prevalent state in renal agenesis) or maternal obesity that may limit the diagnostic accuracy of ultrasonography. Magnetic resonance imaging has proven to be useful when ultrasound alone is insufficient to make a correct diagnosis. CASE PRESENTATION: We present the case of a 22-year-old Caucasian woman who was admitted to our unit at the 26th week of gestation for a detailed anatomy scan. Anhydramnios and failure to visualize the kidneys, bladder and renal vessels were confirmed with the use of sonography in our department. Since the lack of amniotic fluid limited the acoustic window for fetal ultrasonography, a magnetic resonance imaging scan was requested to confirm suspected renal agenesis. A fetal magnetic resonance imaging scan was performed and confirmed the suspected diagnosis. A baby boy was born by breech vaginal delivery after spontaneous onset of labor at the 34th week of gestation. The boy weighed 1690g, with Apgar scores of 6 and 4 at two and five minutes respectively, and died one hour after delivery. The diagnosis of bilateral renal agenesis was confirmed on autopsy. CONCLUSIONS: The aim of this study was to evaluate the potential contribution of magnetic resonance imaging in diagnostic procedure after inconclusive ultrasound examination during the assessment of fetal urinary tract abnormalities in the third trimester.
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spelling pubmed-39761512014-04-05 Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report Gęca, Tomasz Krzyżanowski, Arkadiusz Stupak, Aleksandra Kwaśniewska, Anna Pikuła, Tomasz Pietura, Radosław J Med Case Rep Case Report INTRODUCTION: Ultrasonography is used routinely during pregnancy to screen and detect fetal abnormalities. However, there are some conditions like anhydramnios (a prevalent state in renal agenesis) or maternal obesity that may limit the diagnostic accuracy of ultrasonography. Magnetic resonance imaging has proven to be useful when ultrasound alone is insufficient to make a correct diagnosis. CASE PRESENTATION: We present the case of a 22-year-old Caucasian woman who was admitted to our unit at the 26th week of gestation for a detailed anatomy scan. Anhydramnios and failure to visualize the kidneys, bladder and renal vessels were confirmed with the use of sonography in our department. Since the lack of amniotic fluid limited the acoustic window for fetal ultrasonography, a magnetic resonance imaging scan was requested to confirm suspected renal agenesis. A fetal magnetic resonance imaging scan was performed and confirmed the suspected diagnosis. A baby boy was born by breech vaginal delivery after spontaneous onset of labor at the 34th week of gestation. The boy weighed 1690g, with Apgar scores of 6 and 4 at two and five minutes respectively, and died one hour after delivery. The diagnosis of bilateral renal agenesis was confirmed on autopsy. CONCLUSIONS: The aim of this study was to evaluate the potential contribution of magnetic resonance imaging in diagnostic procedure after inconclusive ultrasound examination during the assessment of fetal urinary tract abnormalities in the third trimester. BioMed Central 2014-03-12 /pmc/articles/PMC3976151/ /pubmed/24618008 http://dx.doi.org/10.1186/1752-1947-8-96 Text en Copyright © 2014 Gęca et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Case Report
Gęca, Tomasz
Krzyżanowski, Arkadiusz
Stupak, Aleksandra
Kwaśniewska, Anna
Pikuła, Tomasz
Pietura, Radosław
Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report
title Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report
title_full Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report
title_fullStr Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report
title_full_unstemmed Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report
title_short Complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report
title_sort complementary role of magnetic resonance imaging after ultrasound examination in assessing fetal renal agenesis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3976151/
https://www.ncbi.nlm.nih.gov/pubmed/24618008
http://dx.doi.org/10.1186/1752-1947-8-96
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