Ra. Quintero et al., IN-UTERO SONOGRAPHIC DIAGNOSIS OF VESICOURETERAL REFLUX BY PERCUTANEOUS VESICOINFUSION, Ultrasound in obstetrics & gynecology, 6(6), 1995, pp. 386-389
Citations number
20
Categorie Soggetti
Acoustics,"Obsetric & Gynecology","Radiology,Nuclear Medicine & Medical Imaging
Vesicoureteral reflux affects approximately 1% of newborns. Although m
ost affected children show only sonographic evidence of renal pelvic d
ilatation, others may show overt hydronephrosis, indistinguishable fro
m that seen in fetuses with obstructive uropathy. Hydronephrosis secon
dary to fetal vesicoureteral reflux cannot be differentiated on ultras
ound examination from that resulting from lower obstructive uropathy w
ith or without reflux. As renal damage from vesicoureteral reflux may
occur in up to 70% of cases, early identification and possible in uter
o treatment of these fetuses may be warranted. We report a sonographic
technique, vesicoinfusion, for diagnosis of vesicoureteric reflux in
utero. The accurate identification of vesicoureteral reflux in utero m
ay have important diagnostic, prognostic and therapeutic implications.