Case report: Diagnosis of fetal vesicoureteric reflux as the cause of pelvicalyceal dilatation on antenatal ultrasound

Stewart, Gregory D.; Ahluwalia, Amandeep; Gowland, M.

doi:10.1016/s0009-9260(05)83057-0

Cited by 7 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At follow‐up ultrasound examination, even in the presence of apparent fetal micturition, the renal pelvis or ureters remained dilated in all fetuses with postnatal evidence of VUR. Previous studies have shown that a reduction in diameter of a previously enlarged fetal bladder in association with concomitant renal pelvic enlargement does not necessarily indicate ‘micturition’, but rather VUR. In view of these findings, we recommend always including measurements of the renal pelvis both when the bladder appears enlarged and also after resolution.…”

Section: Discussionmentioning

confidence: 97%

Fetal megacystis: prediction of spontaneous resolution and outcome

Fontanella

Duin

Scheltema

et al. 2017

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 97%

Fetal megacystis: prediction of spontaneous resolution and outcome

Fontanella

Duin

Scheltema

et al. 2017

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

“…Resolution before the 23rd week of gestation consistently had a positive outcome, whereas 3/8 (38%) of cases where resolution occurred after the 23rd week had urological sequelae requiring postpartum surgical treatment [18]. Spontaneous decision has been linked to urological issues in the crew with late megacystis.…”

Section: Discussionmentioning

confidence: 99%

Fetal Megacystic Spontaneus Resolution: A Case Report

Sanjaya¹,

Mulyana²,

Pangkahila³

et al. 2023

EJMED

View full text Add to dashboard Cite

About 1 in 1500 pregnancies have fetal megacystis discovered during the first trimester ultrasound. Because of obstructive or non-obstructive factors, the fetal bladder may appear enlarged. In the first instance, a lower urinary tract obstruction (LUTO) or obstruction of the bladder outlet causes an increase in hydronephrosis, increased renal parenchymal echogenicity, and oligohydramnios beginning in the second trimester. This condition is associated with poor postnatal renal function and high perinatal mortality. Unusual conditions like the megacystis-microcolon-intestinal hypoperistalsis syndrome are uncommon and are among the non-obstructive causes. Megacystis does not always progress as the pregnancy progresses, and earlier research has even documented spontaneous resolution of the condition while pregnant. Prenatal counseling for fetal megacystis is difficult because of the condition's variable etiology, evolution, and prognosis

show abstract

“…Our findings indicate that ultrasonographic findings of VUR in utero are characterized by repetitious change in size, within a few minutes, of both the renal pelvis and the urinary bladder, and the fact that these changes occur in a reciprocal manner. Stewart et al [11] originally reported a fetus with VUR having a reciprocal change between the bilateral renal pelvis and the urinary bladder. The findings herein described correspond to their report and these changes prove to appear in fetuses, demonstrating that the reflux does occur in a fashion of periodical clusters.…”

Section: Discussionmentioning

confidence: 99%

Antenatal Sonographic Detection of Vesicoureteral Reflux

Shoji

Inatomi²,

Kubota

et al. 2002

Fetal Diagn Ther

View full text Add to dashboard Cite

We report a case with vesicoureteral reflux (VUR), diagnosed antenatally. A 31-year-old Japanese woman was referred at 37 weeks’ gestation because of the fetus having unilateral renal pelvis dilatation. The real-time ultrasound revealed a right renal pyelectasia with periodic changes in size over intervals lasting several minutes. The simultaneous examinations of both anteroposterior dimension of the renal pelvis and the ellipse size of urine-filled bladder area demonstrated that they varied in size in a reciprocal fashion, leading us to diagnose the fetus as having VUR. Postnatally, bilateral VUR was confirmed by the voiding cystogram. This case has typical ultrasonographic findings of fetal VUR, in which both the renal pelvis and urinary bladder dimensions change periodically in a reciprocal manner with each other, when the reflux really occurred.

show abstract

Case report: Diagnosis of fetal vesicoureteric reflux as the cause of pelvicalyceal dilatation on antenatal ultrasound

Cited by 7 publications

References 9 publications

Fetal megacystis: prediction of spontaneous resolution and outcome

Fetal megacystis: prediction of spontaneous resolution and outcome

Fetal Megacystic Spontaneus Resolution: A Case Report

Antenatal Sonographic Detection of Vesicoureteral Reflux

Contact Info

Product

Resources

About