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.
Noia
G
G
Department of Obstetrics and Gynecology, Catholic University, Rome, Italy.
De Santis
M
M
Mastromarino
C
C
Trivellini
C
C
Romano
D
D
Caruso
A
A
Mancuso
S
S
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