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Re: Clin case: distended bladder From: James S Smeltzer MD (gaperina@mindspring.com) Tue Jan 26 11:39:15 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DJBERCK@aol.com: "Re: Clin case: distended bladder" Previous message: Jose Luis Duque: "Re: US markers for fetal anemia" In reply to: M.C. Scarboro RNC RDMS: "Re: Clin case: distended bladder" Next in thread: art fougner, md: "Re: Clin case: distended bladder" Ana, I agree with Mary Carol that the impression based on what you have so far is early urethral obstruction sequence (Prune belly syndrome, which is, as you know, quite rare in females, but does occur. As the urinary ascites and relief of obstruction may well have saved the kidneys and lungs this could all end well. It is important to exclude other VATER-type anomalies and heart defects with a fetal echo, but fewer have this than other renal anomalies. I must warn you that kidneys may appear normal and still end up as hypoplastic or dysplastic so these should be watched. Interesting case. Please let us know the final diagnosis. Jim Smeltzer MD At 07:25 PM 1/23/1999 -0600, you wrote: >Sounds like a happy ending to me. Enlarged hypertrophic bladder >probably stay that way until and if bladder and abdominal tone improve. >Normal (LA)liquour, renal parenchyma, early resolution (<18 wks), and >lack of reflux/hydro; every positive finding a s/p bladder outlet >obstructed female fetus could hope for. Resolution early enough to not >expect pulmonary complications. I bet this baby does well. >MC Scarboro RNC RDMS > >At Sat, 23 Jan 1999, Ana Cunha wrote: >> >>Dear listers, >> >>I'm a sonographer in a Maternity in the north of Portugal. I'm >>posting a case to wich I would like to ask for your expert opinion: >>Single fetus, at 14 weeks presents with ascitis, distended bladder, >>oligohydramnios. At the following visit at 16 weeks, no ascitis was >>visible and there was some LA, cariotype - 46, XX. Presently she is >>20 weeks, has a distended bladder somewhat irregular in shape and with >>hypertrophic wall. Renal parenchima seems normal and there is no >>hydronephrosis, LA is normal. >> >>What should we look for next? Is there a way to establish the >>prognosis in this case? >> >>Thank you in advance for any help, >> >>-- >>Ana Cunha, MD >>Maternity Julio Dinis >>Porto - Portugal >> > >-- >M.C. Scarboro RNC RDMS > Next message: DJBERCK@aol.com: "Re: Clin case: distended bladder" Previous message: Jose Luis Duque: "Re: US markers for fetal anemia" In reply to: M.C. Scarboro RNC RDMS: "Re: Clin case: distended bladder" Next in thread: art fougner, md: "Re: Clin case: distended bladder"

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