Document Detail


Fetal renal anomalies, a diagnostic dilemma in the presence of intrauterine growth retardation and oligohydramnios.
MedLine Citation:
PMID:  3318069     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Measurement of the head-to-abdomen (H/A) ratio for differentiating between symmetrical and asymmetrical IUGR may be difficult in the presence of marked oligohydramnios. A total of 76 cases of IUGR with various degrees of oligohydramnios was studied. Sixteen (59%) out of 27 structural defects represented bilateral renal agenesis, 11 of which were diagnosed prenatally. When only the H/A ratio was measured (n = 29) the sensitivity in picking up a structural defect was 50%. Calculation of the pulsatility index in the umbilical artery and fetal internal carotid artery (n = 47), whether or not combined with amnioinfusion (n = 5), resulted in a sensitivity of 76%. It is suggested that the latter two techniques may provide valuable additional information as to the cause of IUGR.
Authors:
A Reuss; J W Wladimiroff; J A vd Wijngaard; L Pijpers; P A Stewart
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ultrasound in medicine & biology     Volume:  13     ISSN:  0301-5629     ISO Abbreviation:  Ultrasound Med Biol     Publication Date:  1987 Oct 
Date Detail:
Created Date:  1988-01-11     Completed Date:  1988-01-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0410553     Medline TA:  Ultrasound Med Biol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  619-24     Citation Subset:  IM    
Affiliation:
Academic Hospital Rotterdam-Dijkzigt, Erasmus University, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Amniotic Fluid*
Female
Fetal Growth Retardation / diagnosis,  etiology
Humans
Kidney / abnormalities*
Male
Pregnancy
Pregnancy Outcome
Prenatal Diagnosis*
Ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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