[Prenatal use of a vesico-amniotic shunt in obstructive uropathy].
Obstructive uropathy was diagnosed in a fetus in the 31st week of gestation. Good renal functioning and a low L/S index (lecithin/sphingomyelin) in amniotic fluid having been found, a vesocoamniotic shunt was inserted percutaneously. Draining through the shunt lasted for three weeks; then the gravidity was terminated due to stent dislocation while the lung maturity was good. After delivery, right kidney afunction, 4th-5th degree reflux and left-sided hydroureter were diagnosed. At the age of one year, nephrectomy on the right, left-sided hydroureter resection and plastic correction of the megaloureter on the right were performed. The child's condition is satisfactory.
Cermák
A
A
Urologická klinika FNsP, Brono-Bohunice.
Vlasín
P
P
Pacík
D
D
D000328:Adult; D000650:Amnion / Q000601:surgery*; D002408:Catheters, Indwelling; D004108:Dilatation, Pathologic; D005260:Female; D005315:Fetal Diseases / Q000601:surgery*; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000601:surgery*; D007231:Infant, Newborn; D011247:Pregnancy; D015607:Stents; D014517:Ureteral Obstruction / Q000150:complications / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*