Electronic poster abstractspediatric and surgical care of the newborn the aim of this study was to describe the outcome of patients prenatally diagnosed with congenital kidney and urinary tract anomalies. Methods: A prospective observational study included a sample of 19 cases prenatally diagnosed with CAKUT in a one-year period. This study took place in the Maternity and Neonatology Center of Tunis. Results: The average age of pregnant women was 31 years old and 48% of them were multiparous. Kidney and urinary tract anomalies were diagnosed in the second trimester ultrasound in 65% of the cases. Termination of pregnancy was proposed in 7 cases of kidney and urinary tract anomalies associated with oligohydroamnios: bilateral renal agenesis, multicystic dysplastic kidney, hydronephrosis and megacystis. The clinical course of 12 patients prenatally diagnosed with CAKUT was heterogeneous. The diagnosis was confirmed in 7 cases. Urinary tract infection occurred in one case of non-obstructive megaureter. Surgery was performed in one case of pelviureteric junction obstruction with a favourable outcome. Conclusions: Prenatal diagnosis of kidney and urinary tract anomalies allows a better management of this fetal abnormality and an appropriate counselling for the mothers to be. The prognosis depends on whether these anomalies were associated with other anomalies or chromosomal aneuploidy or not and oligohydramnios. EP24.16Profile of fetuses diagnosed with gastroschisis in a reference fetal medicine centre in the South of Brazil
Virtual poster abstractsneonatal centre in Tunis Ultrasounds: T1 and T2 were without abnormalities and related to the corresponding terms. The patient was admitted to our department on 01/21/2008, i.e. on a term of 37 weeks + 1 day for premature rupture of the membrane for more than 12 hours. On examination: BDC positive, TV: cervix dilated to 4cm full seat high, sac of ruptured waters with clear amniotic fluid. Ultrasound: complete breech presentation, deflected head, BIP: 96, bones of both femurs appear Discontinuous. Caesarean birth of a newborn male PN 3100g, in apparent death Apgar 02/02 and cardiopulmonary failure. Failed resuscitation and neonatal death at H1 of life. Examination of the newborn finds a large fontanel and deformed limbs. On the x-ray: the bones of the upper and lower limbs were curved and site of fractures, as well as the presence of fractures at the level of certain ribs.The disease, in the vast majority of cases, is of dominant transmission. There is relative intra-family homogeneity; which means that all people with the family have a form of the same severity. Osteogenesis imperfecta falls within a broad framework of very different aspects in severity. The recent pathophysiological bases, the modes of transmission currently accepted and the classification of any disease observed in parents or children already born, are all elements which should henceforth intervene in the indication and carrying out of the prenatal diagnosis of the disease. VP10.21Congenital kyphosis associated with lumbosacral myelomeningocele
Congenital chloric diarrhoea is a rare hereditary disease. It is characterised by watery diarrhoea caused by massive loss of Cland fluid into the ileum and colon. Prenatal diagnosis is important
Objectives:The aim of this study was to evaluate the importance of rechecking fetal kidneys at a routine third-trimester growth scans, even if they were reported as normal during second trimester anomaly scan. Methods: Patients diagnosed with renal abnormalities for the first time during the routine third-trimester growth scans, seen between April 2017 to September 2020, were retrospectively identified from the obstetric database. Cases where fetal kidneys were reported as abnormal during the anomaly scan, were excluded from the study. In all cases postnatal follow-up was obtained. Results: 25 cases had abnormally reported kidneys for the first time during the routine growth scans, (total patients 3032), at mean gestational age of 33 +1 weeks. The most common new abnormality detected was renal pelvis dilatation (60%, n = 15/25 cases). Out of 15 cases, 8 fetuses (53%) had mild urinary tract dilatation (UTD A1) and 7 fetuses (47%) had UTD A2-3. In almost 75 % of mild UTD cases, hydronephrosis resolved postnatally, while in 2/8 (25%) it was persistent till 1 year follow up. 60% (4/7) with UTD A2-3 were diagnosed with vesicoureteric reflux after birth. The other renal abnormalities diagnosed were -ectopic kidney (n = 3), renal cysts (n = 2, out of which 1 resolved, and in another renal hypoplasia occurred), double moiety (n = 2, diagnosed with reflux subsequently), horseshoe kidney (n = 1), renal hypoplasia (n = 1) and unilateral renal agenesis(n = 1). Conclusions: The most common renal abnormality diagnosed first time during growth scan was urinary tract dilatation, which got resolved in almost one-third of cases after birth. However, two-third of fetuses had persistent renal abnormality postnatally, which was not detected during mid-trimester structural scan, and instead developed/ diagnosed by re-evaluation of fetal kidneys during routine growth scans. These findings call attention to the importance of doing detailed fetal structural evaluation even during third trimester, which currently is mainly focus on growth, amniotic fluid assessment and Doppler.
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