Document Detail


Prognostic significance of antenatally detected fetal pyelectasis.
MedLine Citation:
PMID:  8807759     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to evaluate the prognostic significance of ultrasonographically detected fetal pyelectasis, a retrospective review was performed of patients evaluated for fetal pyelectasis over a 24-month period. From 84 patients a total of 98 fetal kidneys with pyelectasis were identified. Fetal pyelectasis was more common in the left kidney and in males. Postpartum evaluation revealed 48 (57.1%) neonates with hydronephrosis. Among these, mean (SD; range) values of antenatal fetal pyelectasis were 17.0 mm (8.4; 5-26) before 33 weeks and 16.9 mm (8.5; 5-34) after 33 weeks in the left kidney and 15.4 mm (3.3; 10-24) and 17.1 mm (5.1; 5-36), respectively, in the right kidney. Thirteen infants (15.4%) with hydronephrosis required surgical pyeloplasties (mean age 6 months; range 3-18 months). It was found, from a receiver-operating characteristic curve, that fetal pyelectasis of 8 mm was 91% sensitive and 72% specific in predicting subsequent hydronephrosis. Use of a threshold of 5 mm yielded a sensitivity of 100% and a specificity of 24%. On the basis of these findings, we recommend that women with ultrasonographically detected antenatal fetal pyelectasis of > or = 5 mm at any gestational age have follow-up ultrasound examinations and detailed postnatal evaluation.
Authors:
J G Ouzounian; M A Castro; M Fresquez; O M al-Sulyman; B W Kovacs
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  7     ISSN:  0960-7692     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-11-22     Completed Date:  1996-11-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  424-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles, USA.
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MeSH Terms
Descriptor/Qualifier:
Dilatation, Pathologic / complications,  ultrasonography
Female
Fetal Diseases / ultrasonography*
Follow-Up Studies
Gestational Age
Humans
Hydronephrosis / etiology,  surgery,  ultrasonography
Infant
Infant, Newborn
Kidney Diseases / complications,  ultrasonography*
Kidney Pelvis / embryology,  ultrasonography*
Male
Pregnancy
Prognosis
ROC Curve
Retrospective Studies
Sensitivity and Specificity
Ultrasonography, Prenatal*

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


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