Rendón-Acosta MA, Rodríguez-Chávez JL, Tawney-Serrano CR, Madrigal-Rodríguez VM, Bañuelos- Franco A

Language: Spanish
References: 14
Page: 162-166
PDF size: 338.53 Kb.

ABSTRACT

Incidence in Mexico of 900 cases a yer. A case of fetal megacystis in a 15 weeks pregnancy is presented, diagnosis by ultrasonographic examination with presence of megacystis, pelvis renal dilatation and anhydramnios. With reference to fetal surgery center whit confi rmation of female karyotpe and renal displasia with por prognosis for life. requesting the mother to terminate the pregnancy.
We review the literature about prenatal diagnosis and clinical data to identify those candidate cases for fetal therapy. Th e ultrasonographic presence of hyperechogenic kidneys, renal cortical cysts, oligohydramnios are indicators of renal malfunction and discarding the same. Present ultrasonographic fi ndings of this pathology for reference to specialized centers and to know the criteria for undergoing intrauterine fetal therapy

REFERENCES

1. Dezerega V, Corral E, Sepúlveda W. Diagnóstico prenatal de malformaciones urinarias. En: Cafi ci D, Mejides A, Sepúlveda W, Ultrasonografía en obstetricia y diagnóstico prenatal. España: Journal; 2003: 343- 363.

2. Taghabi K, Sharpe C, Strigner M D, Fetal megacystis: A sys tematic review. J Pediatr Urol 2017;13(1):7-15.

3. Cruz-Martínez R, Gratacos E. Cirugía fetal endoscó- pica. Ginecol Obstet Mex 2014;82:325-336.

4. Underwood M A, Gilbert W M, Sherman M P. Amniotic Fluid: Not Just Fetal Urine Anymore. J Perin 2015;25:341 – 348.

5. Gutiérrez S, Casasola J, Suarez B, González C. Mega vejiga en el primer trimestre de embarazo. Resolución espontanea. Clin Invest Gin Obst 2007;34(2):71-73.

6. Osb orne, N. G., Bonilla-Musoles, F., Machado, L. E., Raga, F., Bonilla, F., Ruiz, F., Pérez Guardia, C. M. and Ahluwalia, B. Fetal Megacystis. J Ultrasound Med 2011; 30:833–841

7. Haeri S. Fetal Lower Urinary Tract Obstruction (LUTO): a practical review for providers. Maternal Healt h, Neonatology and Perinatology. 2015;1:26

8. Tonni G, Ida V, Alessandro V, Bonasoni M P. Prune-belly syndrome: case series and review of the literature regarding early prenatal diag nosis, epidemiology, genetic factors, treatment, and prognosis. Fetal Pediatr Pathol. 2013 Feb;31(1):13-24

9. Maita F, Panozo S V, Verastegui D E, H ochstatter E A, Niño de Guzán O, Zegarra W. Síndrome de Prune Belly: diagnóstico y manejo pre y posnatal. Presentación de dos casos. Gac Med Bol 2013; 36(1) 35-38

10. Lozaya T, Vila J M, Perales A, Soler I, Quiroga R, Llorens R, Abad A, Perales A. Síndrome de Berdon: diagnostico intrauterino y evolución posnatal. Diagn Prenat 2013;24:23-28.

11. Putti P , Defectos congénitos y patologías incompatibles con la vida extrauterina. Rev Med Urug 2016; 32(3):2 18-223.

12. Leiva J L, Muñoz H, Rencoret G, Pons A. Cirugia Fetal Rev Med Clin Condes 2014;25(6)972-978.

13. Morris, R. K., Middleton, L. J., Malin, G. L., Quinlan‐Jones, E., Daniels , J., Khan, K. S., ... & Kilby, M. D. (2015). Outcome in fetal lower urinary tract obstruction: a prospective registry study . Ultrasound in Obstetrics & Gynecology, 46(4), 424-431.

14. Nassr, A. A., Shazly, S. A.M., Abdelm agied, A. M., Araujo Júnior, E., Tonni, G., Kilby, M. D. and Ruano, R. (2016), Eff ectiveness of vesico-amniotic shunt in fetuses with congenital lower urinary tract obstruction: An updated systematic review and meta-analysis. Ultrasound Obstet Gynecol. Accept ed Author Manuscript.