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Re: dilated fetal kidney's

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 12 Nov 1999 14:07:21 -0600 (CST)


At Thu, 11 Nov 1999, sarah wrote: >
>I had a 2nd trimester anomaly scan yesterday. The fetus, a boy, was 21
>weeks and one day.
>
>All measurements taken fell within the normal parameters except the
>Kidney's, both left and right, which have too much fluid in their
>cortex. The radiographer said it wasn't alarming but couldn't be
>ignored. They have requested that I come back for a scan at 32 weeks.

Fetal calyceal dilatation - that's what its called. It's not unusual. Dependiing upon the amount of increase, some would repeat sooner and at more frequent intervals. For borderliine increase, 32 weeks might be fine. Check with your doctor.

>Could you please explain to me why this would be the case and what
>action they would take if the problem still persists at 32 weeks.

It's frequently a boy-penis-urethra thing. Commonly called posterior urethral valve syndrome (I'm presuming here with only your description to go on). If it persists (and it will) nothing will be done unless there is a large increase. Depending upon the increase, delivery may be indicated ain a very rare number of cases.

>Does
>this problem indicate any other possible problems such as Down's
>Syndrome?

Nope. There are other sonographic findings that indicate a greater chance of Down's syndrome.

>If they take no action till the birth, what care will my child
>need?

Sonogram and /or IVP (kidney Xray) whie in the nursery.

>I also had the same scan at 18 weeks which indicated the same problem.
>The radiographer however did not report it as an abnormality at this
>stage as she said it was probably due to the fetus having a full
>bladder.

Full bladdercan be a sign of posterior urethral valve syndrome, as noted above.

>Thank you for your time.
>
>Regards
>
>--
>Sarah
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)




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