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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...

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Autores principales: Frech-Dörfler, Martina, Durand, Sabrina, Prüfer, Friederike, Holland-Cunz, Stefan, Rudin, Christoph
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
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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.
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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
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