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Updated: Jun 4, 2026

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Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
Published on: June 21, 2024
[Empty renal fossa--a prenatal diagnostic dilemma]
Summary
Ultrasound effectively diagnoses empty fetal renal fossa (EFRF) and predicts outcomes. Early detection of EFRF allows for informed decisions and generally leads to favorable perinatal results, especially when isolated.
Area of Science:
- Prenatal diagnosis
- Fetal medicine
- Medical imaging
Background:
- Empty fetal renal fossa (EFRF) is a prenatal sonographic finding requiring careful evaluation.
- Differential diagnoses include renal ectopia and unilateral renal agenesis (URA).
- Accurate prenatal assessment is crucial for prognostic evaluation and management.
Purpose of the Study:
- To evaluate the feasibility of ultrasound for diagnosing empty fetal renal fossa (EFRF).
- To assess the prognostic value of ultrasound in EFRF cases.
- To determine pregnancy outcomes associated with EFRF.
Main Methods:
- Prospective observational longitudinal study of 17 cases with EFRF.
- High-resolution ultrasound for prenatal diagnosis and follow-up.
- Analysis of prognostic factors including gestational age, defect type, urinary tract obstruction, and associated anomalies.
Main Results:
- EFRF was detected prenatally before 24 weeks in 14 out of 17 cases.
- The main diagnoses were ectopic kidney (9 cases) and URA (8 cases).
- 16 out of 17 cases had a favorable perinatal outcome; one case with associated anomalies was terminated.
Conclusions:
- Ultrasound is the primary method for prenatal diagnosis and prognosis of EFRF.
- Early EFRF detection facilitates appropriate counseling and pregnancy management.
- Continuing pregnancies with isolated EFRF typically have good perinatal outcomes.
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