Fetal hydronephrosis

Case contributed by Mostafa Elfeky , 20 Nov 2020
Diagnosis almost certain
Changed by Ammar Haouimi, 20 Nov 2020

Updates to Case Attributes

Presentation was changed:
Routine second trimester scan.
Body was changed:

This case shows typical example of prominent fetal hydronephrosis. The dilatation doesn't extend to the ureter and the renal pelvis is ballooned, then pelviureteric junction obstruction is suggested. Postnatal renal ultrasound is recommended for follow up-up, as this degree of dilatation could make surgical intervention more proposed management.

  • -<p>This case shows typical example of prominent <a title="Fetal hydronephrosis" href="/articles/fetal-hydronephrosis">fetal hydronephrosis</a>. The dilatation doesn't extend to the ureter and the renal pelvis is ballooned, then <a href="/articles/pelviureteric-junction-obstruction-1">pelviureteric junction obstruction</a> is suggested. Postnatal renal ultrasound is recommended for follow up, as this degree of dilatation could make surgical intervention more proposed management.</p>
  • +<p>This case shows typical example of prominent <a href="/articles/fetal-hydronephrosis">fetal hydronephrosis</a>. The dilatation doesn't extend to the ureter and the renal pelvis is ballooned, then <a href="/articles/pelviureteric-junction-obstruction-1">pelviureteric junction obstruction</a> is suggested. Postnatal renal ultrasound is recommended for follow-up, as this degree of dilatation could make surgical intervention more proposed management.</p>

Updates to Study Attributes

Findings was changed:

The fetal left kidney is seen enlarged with moderate hydronephrosis and stretched parenchyma. The AP diameter of the renal pelvis measures 15 mm. There is a ballooning of the renal pelvis with no visualised dilated left ureter.

Normal size of the fetal right kidney with no pelvicalyceal dilatation.

Normal urinary bladder.

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