[Percutaneous nephrostomy in utero for bilateral foetal hydronephrosis].
Left percutaneous nephrostomy was performed in a 30-week foetus with bilateral hydronephrosis due to abnormal pyelo-ureteral junction. Puncture of the pelvis and insertion of a 5 cm long F8 Malecot catheter were carried out under ultrasonography. The end of the catheter was left free in the amniotic fluid. Drainage was perfect during 3 weeks, until the skin of the foetus grew over the end of the catheter. At 34 weeks, a much longer catheter was introduced, but it was dislodged from the kidney within 48 hours. Vaginal delivery was induced at 37 weeks, giving birth to a normal male child. On the 4th day after birth the catheter was removed and resection-anastomosis of the left pyelo-ureteral junction was performed.
D000328:Adult; D005260:Female; D005315:Fetal Diseases / Q000601:surgery*; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery*; D007432:Intraoperative Period; D007668:Kidney / Q000601:surgery; D011247:Pregnancy; D014463:Ultrasonography; D014547:Urinary Diversion / Q000379:methods*
La néphrostomie per-cutanée in utero pour hydronéphrose foetale bilatérale.