Pathophysiology,diagnosis and management of prenatal upper tract dilatation |
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| Authors: | Pierre D E Mouriquand Melissa Whitten Jean-Pierre Pracros |
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| Institution: | 1. Fetal Medicine Unit, Elizabeth Garrett Anderson Hospital, London, UK, and Department of Clinical and Molecular Genetics, Institute of Child Health, University College London Medical School, London, UK;2. Department of Paediatric Radiology, Hôpital Debrousse, 69322 Lyon Cedex 05, France |
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| Abstract: | Upper tract dilatation presenting as renal pelvis dilatation with or without ureteric dilatation is one of the more common abnormalities detected on prenatal ultrasound scanning. The majority of cases are due to pelvi-ureteric and vesico-ureteric junction anomalies, and vesico-ureteric reflux. Prenatal diagnosis with ultrasound may be aided by biochemical analysis of fetal blood and urine. The natural history of prenatally detected abnormalities remains under review. Precise diagnosis, and therefore prognosis, may not be made until after birth. Copyright © 2001 John Wiley & Sons, Ltd. |
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| Keywords: | upper tract dilatation prenatal diagnosis obstruction pelvi-ureteric junction vesico-ureteric junction vesico-ureteric reflux |
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