Size and volume charts of fetal kidney, renal pelvis and adrenal gland

Vuuren, S. H. van; Damen-Elias, H. A. M.; Stigter, R. H.; Doef, R. van der; Goldschmeding, R.; Jong, Tom P.V.M. de; Westers, Paul; Visser, Gerard H.A.; Pistorius, L. R.

doi:10.1002/uog.11169

Cited by 73 publications

(44 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The donor was born at 33 weeks of gestation, and his kidneys were harvested 10 days after birth. Studies show that at about 35 weeks of gestation, foetal kidneys measure about 3 to 3.5 cm in length 12 ; we found this to be the case in our donor. Although these small kidneys were able to support the life of our potential donor, who had normal renal function as assessed by serum creatinine, they were likely to become damaged during the transplant surgical process, especially considering the longer than normal warm ischemia time (WIT) that we were contemplating to adhere to the dead donor rule (see below).…”

Section: Donor Details and Risk-benefit Analysissupporting

confidence: 73%

The World's Youngest Cadaveric Kidney Transplant: Medical, Surgical and Ethical Issues

Daar

Lawati

2016

Transplantation Direct

View full text Add to dashboard Cite

BackgroundWe report here the first successful transplant from a preterm cadaveric donor. This was performed in November 1994. The donor, who had been born at about 33 weeks of gestation, was diagnosed as having agenesis of the corpus callosum. The transplant was carried out 10 days after the donor's birth. The recipient was a 17-month-old boy with a diagnosis of Denys-Drash syndrome (WT1 mutation).MethodWe describe and analyze the ethical, social, cultural, medical and surgical issues encountered and how these were addressed. The major issue of determining death in a beating heart, very young donor was dealt with in the absence of worldwide experience and guidelines.ResultsThe transplanted recipient has lived with the grafted pair of kidneys for more then 22 years. He has led a relatively normal life.ConclusionsIt is possible for immature preterm deceased donor kidneys to be transplanted into a 17-month-old recipient and for the grafted kidneys to grow with the recipient and function for 22 years. There were challenges in ethically determining the death of the donor, in surgical techniques to obviate potential surgical complications, and in postoperative care of the recipient, but these were managed successfully.

show abstract

Section: Donor Details and Risk-benefit Analysissupporting

confidence: 73%

The World's Youngest Cadaveric Kidney Transplant: Medical, Surgical and Ethical Issues

Daar

Lawati

2016

Transplantation Direct

View full text Add to dashboard Cite

show abstract

“…[1][2][3] These measurements guide further prenatal imaging and help direct postnatal management decisions. 4,5 Having a normal standard of renal pelvic diameter in children could similarly direct patient care and prevent normal patients from receiving unnecessary radiologic studies.…”

Section: Discussionmentioning

confidence: 99%

“…The renal pelvis anteroposterior diameter (APD) is a standard measurement made in fetuses. Normal and abnormal values have been determined using routine obstetrical screening ultrasounds, [1][2][3] which are used to help with prognosis and to guide patient care in the postnatal setting. 4,5 APD ranges have not been established in children because imaging studies are not routinely used for population-level screening of the kidneys.…”

Section: Introductionmentioning

confidence: 99%