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Related Experiment Videos

Neonatal urinomas: imaging considerations.

R I Macpherson, L Gordon, B F Bradford

    Pediatric Radiology
    |January 1, 1984
    PubMed
    Summary
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    Neonatal urinomas, urine collections caused by congenital blockages, were studied. Renal ultrasound, voiding cystourethrography, and Tc-99m DPTA renal scintigraphy proved most effective for diagnosis.

    Area of Science:

    • Pediatric Urology
    • Neonatal Imaging
    • Congenital Uropathies

    Background:

    • Neonatal urinomas are encapsulated urine collections secondary to congenital obstructive uropathies.
    • Four cases studied at MUSC since 1978 included posterior urethral valves and ureteral atresia.

    Purpose of the Study:

    • To classify neonatal urinomas.
    • To demonstrate radiologic and imaging appearances.
    • To identify the most efficacious diagnostic approach.

    Main Methods:

    • Case study review (1978-present) at Medical University of South Carolina.
    • Classification into subcapsular, diffuse perirenal, and localized perirenal types.
    • Evaluation of diagnostic imaging modalities.

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    Main Results:

    • Three patients had posterior urethral valves; one had segmental ureteral atresia.
    • Urinomas were classified into three types based on location.
    • Renal ultrasound, voiding cystourethrography, and Tc-99m DPTA renal scintigraphy were most effective for diagnosis.

    Conclusions:

    • Neonatal urinomas require accurate diagnosis for appropriate management.
    • A combination of imaging techniques offers the most efficacious approach.
    • Understanding urinoma classification aids in diagnosis and management planning.