Shaheen Ihab Sakr, Watson Alan R, Broderick Nigel, Rance Christopher
Children and Young People's Kidney Unit, Nottingham City Hospital NHS Trust, Nottingham, NG5 1PB, UK.
Pediatr Surg Int. 2005 Apr;21(4):282-4. doi: 10.1007/s00383-004-1303-7. Epub 2004 Dec 14.
Two infants with nonfunctioning antenatally detected multicystic dysplastic kidneys developed acute renal failure in conjunction with pelviureteric obstruction of the contralateral kidney at 9 and 14 months of age, respectively. The initial postnatal ultrasounds had shown mild pelvic dilatation in both cases. Clinicians need to be aware of the possibility of late obstruction. We suggest that it is good practice to review patients with antenatally detected urinary tract abnormalities and equivocal investigations at joint nephrouroradiology meetings.
两名产前检测出的多囊性发育不良肾无功能的婴儿，分别在9个月和14个月大时出现急性肾衰竭，同时对侧肾发生肾盂输尿管梗阻。最初的产后超声检查显示，两例均有轻度肾盂扩张。临床医生需要意识到晚期梗阻的可能性。我们建议，在联合肾泌尿放射学会议上，对产前检测出尿路异常且检查结果不明确的患者进行复查是一种良好的做法。
