A 5-year audit of 778 neonatal renal scans (Part 2). Miscellaneous anomalies in 59 infants: a pictorial presentation.
In this 5-year review of 778 neonatal renal scans seen in an obstetric hospital, Mercy Hospital for Women, Melbourne, most infants were referred because of antenatal ultrasound findings. Ninety-two percent of these had fetal pyelectasis. The results were classified on the ultrasound findings. The majority of neonates (76%) had a normal postnatal scan. A number had vesicoureteric reflux found on micturating cystourethrogram. Persisting mild/moderate pyelectasis or hydronephrosis (15%) proved to be a normal variant in many infants, but had a similar appearance to those with an early obstructive cause (1%). There were 59 infants (8%) with a miscellaneous group of renal anomalies, many with a characteristic antenatal ultrasound appearance suggesting the diagnosis. Review of these 59 infants illustrates the anomalies seen and reports the associated investigations and subsequent outcome in most cases.
Acton
Christine
C
Department of Medical Imaging, Mercy Hospital for Women, East Melbourne, Victoria, Australia. cmaryday@hotmail.com
Pahuja
Monica
M
Opie
Gillian
G
Woodward
Alan
A
D000015:Abnormalities, Multiple; D002985:Clinical Protocols; D004108:Dilatation, Pathologic; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging*; D007231:Infant, Newborn; D007674:Kidney Diseases / Q000000981:diagnostic imaging*; D007682:Kidney Pelvis / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008297:Male; D008485:Medical Audit; D011247:Pregnancy; D016216:Ultrasonography, Prenatal