Prenatal drainage of fetal urinoma with polyhydramnios: a case report and literature review

Zhang, Huijing; Yang, Huixia; Sun, Yu; Fan, Lixin; Zhang, Xiaoxiao

doi:10.1080/14767058.2017.1281242

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…H. Zhang и соавт. представили в своем исследовании данные о возможности применения магнитно-резонансной томографии для пренатальной диагностики уриномы [24].…”

Section: Findings the Rarity Of Such A Pathology As Urinoma Leads To ...unclassified

“…Некоторые авторы при пренатально выявленной уриноме придерживаются тактики ее дренирования до рождения. Описаны случаи успешного пренатального дренирования околопочечного скопления мочи в III триместре беременности [24]. B. Drera и соавт.…”

Section: Findings the Rarity Of Such A Pathology As Urinoma Leads To ...unclassified

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Urinoma of newborns is an unresolved problem of pediatric urology.

Александровна¹,

Kuchinsky²,

Filatova³

et al. 2022

ECU

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Introduction. Urinoma is a rare pathology of childhood, which manifests itself in the accumulation of urine in the perirenal space. In most cases, the cause of urinoma is an obstruction of the urinary system at some level (from the ureteropelvic segment to the urethra). The mechanism of the development of urinoma is damage of the collecting system of the kidney is related to an increase in intrarenal pressure above 35-40 cm of water column, while urine can accumulate both retroperitoneally and intraperitoneally or even in the pleural cavity by extravasation or as a result of damage of the parietal peritoneum. Due to the rare occurrence of this pathology, unified approaches to the treatment of patients with urinoma have not been developed. Materials and methods. On the basis of St. Petersburg GBUZ DGM KSTSVMT in the period from 2007 to 2020, 7 newborn patients with this diagnosis were treated. Of all the patients, 5 were transferred from the maternity hospital to the neonatal pathology department due to the prenatally diagnosed pathology of the urinary system. However, only one child was suspected of urinoma against the background of hydronephrosis. Results and discussion. The cause of urinoma in 1 case (14%) was obstructive megaureter, in 3 patients (43%) – hydronephrosis, in 2 (29%) – posterior urethral valve. In 1 patient (14%), the cause of the urinoma was not identified. It should be noted that cystic dysplasia of one or both kidneys was detected in 3 children against the background of the underlying pathology. Clinical manifestations of urinoma ranged from the absence of any symptoms (in 1 case) to the presence of a palpable mass in the abdominal cavity and lumbar region, which caused concern to the child (in 3 patients). CT was performed in 4 patients in order to clarify the nature, location, and possible connection of the cystic formation visualized by ultrasound with the collecting system or the kidney parenchyma. The tactics of treating urinoma were different depending on the specific case. Open intervention was required in 6 children (86%). Findings. The rarity of such a pathology as urinoma leads to the lack of a single tactic for its diagnosis and treatment. Applied methods of visual determination of perirenal accumulation of urine, such as ultrasound and CT, can not always help to reliably differentiate urinoma from a kidney/abdominal cyst or severe hydronephrosis. In most cases, preference is given to puncture techniques and radical treatment of the underlying uropathy.

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Section: Findings the Rarity Of Such A Pathology As Urinoma Leads To ...unclassified

Urinoma of newborns is an unresolved problem of pediatric urology.

Александровна¹,

Kuchinsky²,

Filatova³

et al. 2022

ECU

View full text Add to dashboard Cite

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Transient Polyhydramnios during Pregnancy Complicated with Gestational Diabetes Mellitus: Case Report and Systematic Review

Preda

Ștefan²,

Preda

et al. 2022

Diagnostics

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Polyhydramnios is an obstetrical condition defined as a pathological increase in the amniotic fluid and is associated with a high risk of maternal-fetal complications. Common causes of polyhydramnios include fetal anatomical and genetic abnormalities, gestational diabetes mellitus, and fetal viral infections. We present the case of a 30-year-old Caucasian woman with transient polyhydramnios associated with gestational diabetes mellitus and obstetric complications. The diagnosis was based on the ultrasound assessment of amniotic fluid volume during a common examination at 26 weeks. Two weeks prior, the patient had been diagnosed with gestational diabetes mellitus. After 4 days, the patient was examined, and the amniotic fluid index returned to normal values. At 38 weeks, the patient presented to the emergency room due to lack of fetal active movement. Ultrasound revealed polyhydramnios, the patient was admitted for severe fetal bradycardia, and fetal extraction through emergency cesarian section was performed. Six weeks after birth, the patient underwent an oral glucose tolerance test with normal values, confirming gestational diabetes mellitus. We performed a systematic review of the literature on polyhydramnios, from January 2016 to April 2022, to analyze all recent published cases and identify the most common etiological causes and important aspects related to maternal-fetal outcomes.

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