ULTRASOUND Messages for February, 2003: Re: a question from Russia

Re: a question from Russia
From: udayakumar (drudaya@vsnl.com)
Tue Feb 25 10:46:49 2003

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Dr.Galkin, What is the degree of hydronephrosis? Can you mention the pelvic seperation and the Antero-Posterior thickness of the Kidneys? Since it is Bilateral, was there bladder distension? Pelvic seperations less than 7mm have had no problems. We've had post natal followups in many such cases. On the other hand, coexistence of echogenic renal parenchyma with cysts ( dysplastic changes), would suggest that kidney is not salvageable. ..Udayakumar. INDIA
"Terry J. DuBose" wrote:
> Dr. Galkin, first let me point out that I am not a physician (Dr.), but a sonographer. As your question relates to sonography, I think that it will depend upon the measurement(s). Also, is the quantity of amniotic fluid normal?
>
> Generally renal pyelectasis less than 1 cm is not much of a concern, though other authors have used 4 mm as the upper limit. Also, there is some evidence that this is more prevalent in the male than female fetus.
>
> I will post your question to the Ultrasound@OBGYN.net and see what others think. You will be able to see the responses at: http://forums.obgyn.net/ultrasound/
>
> Thanks for your participation and good luck.
>
> Peace, Terry J DuBose, M.S., RDMS
> Little Rock, Arkansas USA
> --------------------------------
> galkin@antibiotic.ru writes:
> --------------------------------
> Dear Dr. Dubose,
> --------------------------------
>
> I will much appreciate if you could answer what is the tactics and
> prognosis in prenatal diagnose of hydronephrosis of a double kidney in
> a male foetus on 27-28 weeks of gestation.
> Your prompt reply will be very helpful because common Russian
> recommendations in this case is abortion.
>
> Thank you very much in advance.
>
> Dr. Dmitry Galkin, MD
>
> Peace, Terry J. DuBose, M.S., RDMS
> Assistant Professor & Director, Diagnostic Medical Sonography Program
> University of Arkansas for Medical Sciences, CHRP
> 4301 West Markham St. Mail Slot #563
> Little Rock, Arkansas, 72205 USA
> 501-686-6510
> DuBoseTerryJ@UAMS.edu
> http://www.io.com/~dubose/
> http://www.uams.edu/CHRP/dmshome.htm
> http://www.obgyn.net/us/panel/panel.htm

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