Accuracy of prenatal diagnosis of renal agenesis with color flow imaging in severe second-trimester oligohydramnios

Sepulveda, Waldo, Stagiannis, Konstantinos D., Flack, Nicola J. and Fisk, Nicholas M. (1995) Accuracy of prenatal diagnosis of renal agenesis with color flow imaging in severe second-trimester oligohydramnios. American Journal of Obstetrics and Gynecology, 173 6: 1788-1792. doi:10.1016/0002-9378(95)90428-X


Author Sepulveda, Waldo
Stagiannis, Konstantinos D.
Flack, Nicola J.
Fisk, Nicholas M.
Title Accuracy of prenatal diagnosis of renal agenesis with color flow imaging in severe second-trimester oligohydramnios
Journal name American Journal of Obstetrics and Gynecology   Check publisher's open access policy
ISSN 0002-9378
1097-6868
Publication date 1995-12
Sub-type Article (original research)
DOI 10.1016/0002-9378(95)90428-X
Volume 173
Issue 6
Start page 1788
End page 1792
Total pages 5
Place of publication Philadelphia, PA, United States
Publisher Mosby
Language eng
Formatted abstract
OBJECTIVE:
Our purpose was to examine the potential of color flow imaging to assess the presence of renal arteries in second-trimester pregnancies complicated by severe oligohydramnios.

STUDY DESIGN:
Thirty-three consecutive second-trimester pregnancies referred with severe oligohydramnios were prospectively studied with high-resolution color Doppler ultrasonography to establish the presence or absence of renal arteries. Prenatal findings were correlated with the presence or absence of fetal kidneys at postmortem or postnatal examination.

RESULTS:
Neither renal artery was visualized in eight fetuses; postmortem examination confirmed bilateral renal agenesis in seven and unilateral renal agenesis with a contralateral atrophic multicystic kidney in the other. Only one renal artery was seen in three; postmortem examination demonstrated unilateral renal agenesis in two fetuses and bilateral multicystic dysplastic kidneys in the other. Postmortem or postnatal evaluation confirmed the presence of both kidneys in all 22 fetuses in which both renal arteries were identified prenatally.

CONCLUSIONS:

Color Doppler ultrasonography is useful in the prenatal evaluation of fetuses with severe second-trimester oligohydramnios to demonstrate the presence or absence of renal arteries. This technique should be added to the armamentarium of prenatal tests to evaluate second-trimester fetuses with severe oligohydramnios.
Keyword Renal agenesis
Oligohydramnios
Color Doppler ultrasonography
2nd Trimester
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: Faculty of Health and Behavioural Sciences -- Publications
 
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