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[Neonatal pelvic ectasia].

A Fernández Escribano1, C García Meseguer, I Pastor Abascal

  • 1Sección de Nefrología, Clínica Infantil La Paz, Madrid.

Anales Espanoles De Pediatria
|December 1, 1989
PubMed
Summary
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Neonatal pelvic dilatation, identified via sonography, often resolves spontaneously. However, associated urinary tract infections and structural abnormalities like vesicoureteric reflux require monitoring and potential intervention.

Area of Science:

  • Pediatric Nephrology
  • Diagnostic Imaging
  • Urology

Context:

  • Pelvic dilatation in neonates is a common finding on prenatal or postnatal sonography.
  • Understanding the natural history and associated conditions is crucial for appropriate management.

Purpose:

  • To evaluate the clinical significance and outcomes of neonatal pelvic dilatation identified by sonography.
  • To correlate sonographic findings with conventional urographic methods.
  • To assess the incidence of associated urinary tract pathologies and their management.

Summary:

  • Fifty-four neonates with sonographically detected pelvic dilatation underwent comprehensive urological evaluation including intravenous pyelography (IVP) and voiding cystography.
  • Ectasias were graded, showing good correlation with urography in grades I, III, and IV.

Related Experiment Videos

  • Associated conditions included urinary tract infection (17.4%), vesicoureteric reflux (25.5%), and ureteropelvic obstruction (17.4%).
  • During follow-up (3-32 months), 52% of ectasias resolved spontaneously, while 11% required surgical intervention (pyeloplasty).
  • A significant finding was the high rate of initial and subsequent urinary tract infections (53% of patients).

    • Impact:

    • This study highlights the high spontaneous resolution rate of neonatal pelvic dilatation.
    • It underscores the importance of vigilant monitoring for urinary tract infections in these infants.
    • Findings guide clinical decision-making regarding further investigations and interventions for neonatal pelvic dilatation.