Cargando…
Giant Bilateral Hydronephrosis in A Newborn—A Case Report
Background: Prenatal hydronephrosis is common and may vary in size. Although mostly unproblematic, it may be a sign of urinary tract obstruction of differing severity. Case Diagnosis/Treatment: We present a boy with prenatally detected bilateral giant hydronephrosis. A prenatal ultrasound showed the...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9776467/ https://www.ncbi.nlm.nih.gov/pubmed/36553334 http://dx.doi.org/10.3390/children9121890 |
_version_ | 1784855872674988032 |
---|---|
author | Frech-Dörfler, Martina Durand, Sabrina Prüfer, Friederike Holland-Cunz, Stefan Rudin, Christoph |
author_facet | Frech-Dörfler, Martina Durand, Sabrina Prüfer, Friederike Holland-Cunz, Stefan Rudin, Christoph |
author_sort | Frech-Dörfler, Martina |
collection | PubMed |
description | Background: Prenatal hydronephrosis is common and may vary in size. Although mostly unproblematic, it may be a sign of urinary tract obstruction of differing severity. Case Diagnosis/Treatment: We present a boy with prenatally detected bilateral giant hydronephrosis. A prenatal ultrasound showed the whole abdominal cavity of the fetus filled with urine. Kidney parenchyma could not be seen. The boy was born at 34 + 1 weeks’ gestation. After delivery, he showed a severely distended abdomen. Insertion of a nasogastric tube was not possible, and he had to be intubated due to respiratory distress. A bilateral percutaneous nephrostomy was performed immediately. After a few hours, he could be stabilized and extubated. An ultrasound on the following day showed two kidney units with normal kidney parenchyma of normal size. The initially slightly elevated serum creatinine level normalized within one week. An antegrade pyelography via the nephrostomy tubes showed bilateral ureteropelvic junction obstruction. Conclusion: Severe bilateral hydronephrosis may be associated with good outcome and well-preserved kidney function. Prenatal counseling should be done carefully, with discussion of different treatment possibilities and without definitive prediction of outcome. |
format | Online Article Text |
id | pubmed-9776467 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-97764672022-12-23 Giant Bilateral Hydronephrosis in A Newborn—A Case Report Frech-Dörfler, Martina Durand, Sabrina Prüfer, Friederike Holland-Cunz, Stefan Rudin, Christoph Children (Basel) Case Report Background: Prenatal hydronephrosis is common and may vary in size. Although mostly unproblematic, it may be a sign of urinary tract obstruction of differing severity. Case Diagnosis/Treatment: We present a boy with prenatally detected bilateral giant hydronephrosis. A prenatal ultrasound showed the whole abdominal cavity of the fetus filled with urine. Kidney parenchyma could not be seen. The boy was born at 34 + 1 weeks’ gestation. After delivery, he showed a severely distended abdomen. Insertion of a nasogastric tube was not possible, and he had to be intubated due to respiratory distress. A bilateral percutaneous nephrostomy was performed immediately. After a few hours, he could be stabilized and extubated. An ultrasound on the following day showed two kidney units with normal kidney parenchyma of normal size. The initially slightly elevated serum creatinine level normalized within one week. An antegrade pyelography via the nephrostomy tubes showed bilateral ureteropelvic junction obstruction. Conclusion: Severe bilateral hydronephrosis may be associated with good outcome and well-preserved kidney function. Prenatal counseling should be done carefully, with discussion of different treatment possibilities and without definitive prediction of outcome. MDPI 2022-12-02 /pmc/articles/PMC9776467/ /pubmed/36553334 http://dx.doi.org/10.3390/children9121890 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Frech-Dörfler, Martina Durand, Sabrina Prüfer, Friederike Holland-Cunz, Stefan Rudin, Christoph Giant Bilateral Hydronephrosis in A Newborn—A Case Report |
title | Giant Bilateral Hydronephrosis in A Newborn—A Case Report |
title_full | Giant Bilateral Hydronephrosis in A Newborn—A Case Report |
title_fullStr | Giant Bilateral Hydronephrosis in A Newborn—A Case Report |
title_full_unstemmed | Giant Bilateral Hydronephrosis in A Newborn—A Case Report |
title_short | Giant Bilateral Hydronephrosis in A Newborn—A Case Report |
title_sort | giant bilateral hydronephrosis in a newborn—a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9776467/ https://www.ncbi.nlm.nih.gov/pubmed/36553334 http://dx.doi.org/10.3390/children9121890 |
work_keys_str_mv | AT frechdorflermartina giantbilateralhydronephrosisinanewbornacasereport AT durandsabrina giantbilateralhydronephrosisinanewbornacasereport AT pruferfriederike giantbilateralhydronephrosisinanewbornacasereport AT hollandcunzstefan giantbilateralhydronephrosisinanewbornacasereport AT rudinchristoph giantbilateralhydronephrosisinanewbornacasereport |