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Dustin D Flannery, Erik Brandsma, Judy Saslow, Amy B Mackley, David A Paul, Zubair H Aghai
OBJECTIVE: To determine if infants diagnosed with urinary tract infection (UTI) in the neonatal intensive care unit (NICU) require a routine voiding cystourethrogram (VCUG). STUDY DESIGN: Retrospective data analysis from three centers for infants admitted to the NICU born between 2000 and 2013 and diagnosed with UTI. RESULTS: One hundred twenty-six infants from three centers were diagnosed with UTI during their hospitalization. Renal ultrasound (RUS) was performed in 115 infants (91...
December 20, 2017: Journal of Maternal-fetal & Neonatal Medicine
Takahiro Tominaga, Takeshi Sato, Yosuke Ichihashi, Naoko Amano, Yasuaki Kobayashi, Midori Awazu
Type IV renal tubular acidosis is known to occur in obstructive uropathy with urinary tract infection. Fanconi syndrome, however, has not been described in these settings. We report two preterm infants who developed Fanconi syndrome associated with hydronephrosis and urinary tract infection. Patient 1 is a boy with 21 trisomy, bilateral renal hypoplasia and bilateral vesicoureteral reflux delivered at 35 weeks' gestation. At postnatal day 42, he developed Fanconi syndrome after urinary tract infection, which persisted until the surgical correction of vesicoureteral reflux...
May 2017: CEN Case Reports
Yoon-Myung Kim, In-Hee Choi, Jun Suk Kim, Ja Hye Kim, Ja Hyang Cho, Beom Hee Lee, Gu-Hwan Kim, Jin-Ho Choi, Eul-Ju Seo, Han-Wook Yoo
Phelan-McDermid syndrome is a rare genetic disorder caused by the terminal or interstitial deletion of the chromosome 22q13.3. Patients with this syndrome usually have global developmental delay, hypotonia, and speech delays. Several putative genes such as the SHANK3 , RAB , RABL2B , and IB2 are responsible for the neurological features. This study describes the clinical features and outcomes of Korean patients with Phelan-McDermid syndrome. Two patients showing global developmental delay, hypotonia, and speech delay were diagnosed with Phelan-McDermid syndrome via chromosome analysis, fluorescent in situ hybridization, and multiplex ligation-dependent probe amplification analysis...
November 2016: Korean Journal of Pediatrics
Shane Zim, Janet Lee, Brian Rubinstein, Craig Senders
OBJECTIVE:   The objective of this study was to determine whether patients with isolated microtia or aural atresia have an increased prevalence of renal or cervical vertebral anomalies. DESIGN:   The study design was a retrospective medical record review. SETTING:   The setting was the following four distinct institutions: an urban tertiary care children's hospital, two urban academic medical centers, and a staff-model health maintenance organization...
November 2017: Cleft Palate-craniofacial Journal
Meng-Che Tsai, Hsueh-Yin Cheng, Mei-Tsz Su, Ming Chen, Pao-Lin Kuo
OBJECTIVE: Prenatal detection of trisomy 8 mosaicism can be misleading and remains challenging in genetic counseling. Identifying cases of partial or complete trisomy 8 mosaicism will highlight the pitfalls of conventional karyotyping in prenatal amniocentesis for partial or complete trisomy 8 mosaicism. CASE REPORT: The patient was born uneventfully at term to a healthy 34-year-old mother. Analysis of the amniotic fluid (AF) cells showed a normal male karyotype...
December 2014: Taiwanese Journal of Obstetrics & Gynecology
K M Orzechowski, V Berghella
OBJECTIVES: We performed a meta-analysis to examine the performance of second-trimester (14-24 weeks' gestation) isolated fetal pyelectasis as a marker for trisomy 21 and to calculate its associated weighted pooled likelihood ratios. METHODS: PubMed, Ovid MEDLINE and Cochrane databases were searched using the terms 'pyelectasis' and 'pelviectasis'. Studies were included if fetuses with isolated pyelectasis were reported separately from fetuses with other soft markers of aneuploidy and/or structural anomalies and if knowledge of the fetal karyotype was unknown at the time of ultrasound examination...
December 2013: Ultrasound in Obstetrics & Gynecology
Hanna M Zafar, Anita Ankola, Beverly Coleman
Routine use of ultrasound (US) in antenatal screening has increased over the past decade among both low- and high-risk pregnancies. Recognition of common US imaging pitfalls and artifacts associated with frequently encountered fetal anomalies on obstetric US is imperative to avoid misdiagnosis. The purpose of this article is to present practical tips on how to accurately diagnose 6 fetal anomalies including choroid plexus cyst, mild ventriculomegaly, echogenic intracardiac focus, prominent thymus, mild renal pelviectasis, and echogenic bowel...
June 2012: Ultrasound Quarterly
Banu Dane, Cem Dane, Derya Sivri, Murat Kiray, Ahmet Cetin, Murat Yayla
BACKGROUND: This study was planned to evaluate the efficiency of the 11-14 week scan in detecting fetuses with major fetal structural abnormalities. METHODS: Some 1,290 pregnant women were submitted to a routine ultrasound scan between the 11th and 14th week after the detection of the fetal viability. The fetal anatomy was examined transabdominally, and in suspected cases transvaginally. Following the scans, the patients were examined in the second or third trimester of pregnancy...
2007: Acta Obstetricia et Gynecologica Scandinavica
Judy L Chen, Anna H Messner, Kay W Chang
We present two siblings with severe laryngomalacia requiring surgical intervention during the newborn period, microcephaly, developmental delay, cleft palate, preaxial polydactyly, dysplastic nails and conductive hearing loss (persistent after tympanostomy tube placement). In addition the girl has microopthalmia and the boy was born with a patent ductus arteriosus, mild pelviectasis, and hypospadias. This combination of multiple congenital anomalies has not been described previously and may represent a previously undescribed syndrome with autosomal inheritance...
September 2006: International Journal of Pediatric Otorhinolaryngology
Hülya Bilgen, Eren Ozek, Tamer Unver, Neşe Biyikli, Harika Alpay, Dilşat Cebeci
The aim of this study was to evaluate the incidence of urinary tract infection (UTI) in newborns with asymptomatic, unexplained indirect hyperbilirubinemia in the first two weeks of life. Jaundiced infants, otherwise clinically well, less than two weeks of ages, with a total bilirubin level above 15 mg/dl were eligible for the study. A bilirubin work-up including glucose-6-phosphate dehydrogenase (G-6 PD) level, as well as urinalysis and a urine culture were performed in all patients. Patients with UTI, defined as more than 10,000 colony-forming units per milliliter of a single pathogen obtained by bladder catheterization, were evaluated for sepsis...
January 2006: Turkish Journal of Pediatrics
Gagan Sidhu, Joseph Beyene, Norman D Rosenblum
Idiopathic antenatal hydronephrosis (IAHN), defined as antenatal hydronephrosis not associated with other morphologic renal tract abnormalities, is the most common abnormality detected by antenatal ultrasound. We performed a systematic review and meta-analysis to determine the outcome of IAHN. We screened three databases and bibliographies to identify English-language original peer-reviewed papers that reported serial postnatal renal ultrasonography in children with IAHN. Patients who stabilized and/or improved were extracted and pooled according to the individual grading systems used by each study...
February 2006: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
Benjamin M Yeh, Fergus V Coakley, Maxwell V Meng, Richard S Breiman, Marshall L Stoller
PURPOSE: To determine the prevalence and morphologic associations of precaval right renal arteries at spiral computed tomography (CT). MATERIALS AND METHODS: The authors retrospectively reviewed 186 arterial phase contrast material-enhanced spiral CT scans of the abdomen (5.0-mm section thickness in 97 scans, 2.5 mm in 89 scans) obtained during a 2-year period to identify patients with precaval right renal arteries. During routine interpretation of CT scans at daily readout, the authors prospectively identified 39 additional patients with precaval right renal arteries...
February 2004: Radiology
Adam M Cheng, Veronique Phan, Denis F Geary, Norman D Rosenblum
OBJECTIVE: To define the clinical outcome in isolated antenatal hydronephrosis (ANH), defined as pelviectasis without vesicoureteral reflux or urinary tract obstruction. STUDY DESIGN AND PATIENTS: We analyzed prospectively gathered data from patients with isolated ANH. Pelviectasis, graded using the anterior-posterior diameter reference criteria, was defined by the status of the more severely affected kidney. Urinary tract obstruction was ruled out by diethylenetriamine pentaacetic acid scan when clinically indicated...
January 2004: Archives of Pediatrics & Adolescent Medicine
Véronique Phan, Jeffrey Traubici, Brian Hershenfield, Derek Stephens, Norman D Rosenblum, Denis F Geary
Standardized evaluation of all newborns with antenatally recognized hydronephrosis (ANH) at The Hospital for Sick Children (HSC) has included voiding cystourethrography (VCUG). This paper reviews this protocol to determine: (1) the prevalence of vesicoureteral reflux (VUR) in isolated ANH and (2) the value of performing VCUG in cases of mild hydronephrosis, defined as renal pelvis dilatation <10 mm on postnatal ultrasonography (US). A retrospective chart review was performed on infants referred with ANH...
December 2003: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
A R Guest, R H Cohan, M Korobkin, J F Platt, C C Bundschu, I R Francis, A Gebramarium, U M Murray
OBJECTIVE: This study was designed to assess interobserver variability in identifying the rim and comet-tail signs and to determine the clinical utility of these signs in determining whether or not the calcifications with which they are associated represent ureteral calculi. MATERIALS AND METHODS: Two radiologists and a radiology resident, unaware of the final diagnosis, reviewed preselected helical CT images from renal stone examinations in patients with 65 indeterminate pelvic calcifications...
December 2001: AJR. American Journal of Roentgenology
D R Siemens, K A Prouse, A E MacNeily, E E Sauerbrei
We tested the parameters of gestational age and renal pelvic anteroposterior (AP) diameter of antenatally detected pelvicaliectasis for their ability to determine insignificant postnatal renal pelvic dilatation. A retrospective analysis of 10,365 antenatal sonograms revealed 121 kidneys with pelvicaliectasis, from which 99 sonograms with sufficient postnatal follow-up were reviewed. Gestational ages were classified as <20, 20-30, or >30 weeks. Thresholds of renal pelvic AP diameter in each gestational period that were predictive of postnatal insignificance were determined to be <6, <8, and <10 mm, respectively...
December 1998: Techniques in Urology
P Gill, J Vanhook, J Fitzsimmons, J Pascoe-Mason, A Fantel
Although prominent fetal nuchal folds, short long bones, echogenic bowel, and renal pelviectasis have been shown to be associated with trisomy 21, none has acceptable diagnostic efficacy. Diminished fetal ear lengths measured by ultrasound have recently been reported as yet another potential morphological marker for the prenatal detection of trisomy 21. To investigate this further, we measured ear lengths and widths of normal (n = 107) and trisomy 21 (n = 25) second-trimester formalin-preserved fetuses. The normal ear growth characteristics are described and compared with those of trisomy 21 fetuses...
August 1994: Prenatal Diagnosis
A J Davidson, P L Choyke, D S Hartman, C J Davis
PURPOSE: To correlate the radiologic and pathologic findings in patients with renal medullary carcinoma and sickle cell trait. MATERIALS AND METHODS: Radiologic studies of five pathologically proved cases of renal medullary carcinoma were retrospectively correlated with gross pathologic findings. Excretory urograms, computed tomographic (CT) scans, sonograms, photographs of the gross surgical specimens, and an angiogram were available for review. Each case was analyzed for tumor location, pattern of growth, contrast enhancement and echotexture, angiographic pattern, and stage...
April 1995: Radiology
B W Betz, B S Hertzberg, B A Carroll, J D Bowie
Ultrasound often detects a sonolucent region in the hilum of the fetal kidney. Although this sonolucency is usually assumed to represent mild dilatation of the fetal renal collecting system, in pediatric and adult kidneys blood vessel lumina can simulate pelviectasis. We used color Doppler ultrasound to differentiate the fetal renal collecting system from hilar blood vessels and to evaluate how often blood vessels account for the sonolucent region often demonstrated in the renal hilum during antenatal sonography...
May 1991: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
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