Unilateral Renal Agenesis Diagnosed on Early Prenatal Trans-Vaginal Scans.


Journal

The Israel Medical Association journal : IMAJ
ISSN: 1565-1088
Titre abrégé: Isr Med Assoc J
Pays: Israel
ID NLM: 100930740

Informations de publication

Date de publication:
Feb 2019
Historique:
entrez: 18 2 2019
pubmed: 18 2 2019
medline: 30 5 2019
Statut: ppublish

Résumé

Unilateral renal agenesis is a rare finding. There are no large-scale studies reporting this finding in early pregnancy. To evaluate the incidence of unilateral renal agenesis (URA) and of associated anomalies diagnosed by early prenatal trans-vaginal sonography. We performed a retrospective chart review of all 59,382 trans-vaginal scans performed at 14-16 weeks gestation by a single operator at different clinics during the period 1994-2013. The incidence of URA was 1:1212 (49/59382 cases). Associated anomalies were diagnosed in 22 cases (45%). Renal anomalies were diagnosed in 22.4%. Extra-renal anomalies (with exclusion of a single umbilical artery or nuchal edema as isolated findings) were diagnosed in 24.5%. Ambiguous genitalia were diagnosed in 8.2%. URA is a rare finding in early trans-vaginal sonography. Associated anomalies are very common and should be sought.

Sections du résumé

BACKGROUND
Unilateral renal agenesis is a rare finding. There are no large-scale studies reporting this finding in early pregnancy.
OBJECTIVES
To evaluate the incidence of unilateral renal agenesis (URA) and of associated anomalies diagnosed by early prenatal trans-vaginal sonography.
METHODS
We performed a retrospective chart review of all 59,382 trans-vaginal scans performed at 14-16 weeks gestation by a single operator at different clinics during the period 1994-2013.
RESULTS
The incidence of URA was 1:1212 (49/59382 cases). Associated anomalies were diagnosed in 22 cases (45%). Renal anomalies were diagnosed in 22.4%. Extra-renal anomalies (with exclusion of a single umbilical artery or nuchal edema as isolated findings) were diagnosed in 24.5%. Ambiguous genitalia were diagnosed in 8.2%.
CONCLUSIONS
URA is a rare finding in early trans-vaginal sonography. Associated anomalies are very common and should be sought.

Identifiants

pubmed: 30772957

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

85-87

Auteurs

Osnat Zmora (O)

Department of Pediatric Surgery, Assaf Harofeh Medical Center, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Ron Beloosesky (R)

Department of Obstetrics and Gynecology, Rambam Medical Center, affiliated with Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Ayala Gover (A)

Neonatal Intensive Care Unit, Lady Davis Carmel Medical Center, Haifa, Israel.

Moshe Bronshtein (M)

Department of Obstetrics and Gynecology, Rambam Medical Center, affiliated with Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Faculty of Social Welfare.
Health Sciences, University of Haifa, Haifa, Israel.

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