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[Can fetal kidney dilatation be physiologic?].

J Deutinger, R Spernol, G Bernaschek

    Geburtshilfe Und Frauenheilkunde
    |July 1, 1984
    PubMed
    Summary
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    [DEGUM Level III recommendation for "follow-up" ultrasound examination (= DEGUM Level II) in the 11 -- 14 week period of pregnancy].

    Ultraschall in der Medizin (Stuttgart, Germany : 1980)·2004

    Fetal calyceal system dilation detected via sonography in 13.6% of pregnancies. These physiological dilatations resolve naturally after birth, distinct from pathological conditions.

    Area of Science:

    • Obstetrics and Gynecology
    • Fetal Medicine
    • Medical Imaging

    Context:

    • Prenatal diagnosis of fetal urinary tract anomalies.
    • Routine sonographic screening in the third trimester.
    • Understanding normal fetal development of the renal system.

    Purpose:

    • To evaluate the prevalence and characteristics of fetal calyceal system dilation using sonography.
    • To differentiate physiological from pathological calyceal dilation in fetuses.
    • To establish normative data for the fetal calyceal system during pregnancy.

    Summary:

    • Sonography was employed to examine the fetal calyceal system in over 100 pregnancies from 25 weeks gestation to term.
    • Physiological dilation of the fetal calyceal system was observed in 13.6% of cases, unrelated to fetal bladder volume or maternal calyceal system.

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  • These dilatations were transient, resolving spontaneously postpartum, with a discussion on differentiating them from pathological conditions.

    • Impact:

    • Provides crucial data for accurate prenatal diagnosis of fetal renal anomalies.
    • Aids in distinguishing normal developmental variations from potentially serious conditions.
    • Improves obstetric management and counseling regarding fetal urinary tract findings.