Double shunt in a case of fetal low-level obstructive uropathy.
This report describes a pregnant woman at 22 weeks of gestation examined for fetal bilateral dilated renal pelvis and oligohydramnios. Ultrasound evaluation confirmed the diagnosis of low-level obstructive uropathy. At 26 weeks of gestation, the increase in hydronephrosis prompted us to introduce a vesicoamnionic shunt. Because of unusual intraperitoneal dislocation of the shunt and an increase in ascites and hydronephrosis, we had to insert a peritoneoamnionic shunt at 30 weeks of gestation. The patient underwent cesarean section at 31 weeks for obstetric complications. The infant, at 15 months of age, showed mild renal failure.
Department of Obstetrics and Gynecology, Catholic University, Rome, Italy.
G
G
Noia
M
M
De Santis
C
C
Mastromarino
C
C
Trivellini
D
D
Romano
A
A
Caruso
S
S
Mancuso
D000328:Adult; D000650:Amnion; D000714:Anastomosis, Surgical; D002585:Cesarean Section; D005260:Female; D005315:Fetal Diseases / Q000601:surgery*; D005322:Premature Rupture of Fetal Membranes; D005865:Gestational Age; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging; D008297:Male; D016104:Oligohydramnios; D011247:Pregnancy; D016216:Ultrasonography, Prenatal; D014524:Urethral Obstruction / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery