SciELO - Scientific Electronic Library Online

 
vol.83 número3Perforación gástrica neonatalCaracterización clínico-epidemiológica de la otitis media aguda en pacientes pediátricos índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Revista Cubana de Pediatría

versión impresa ISSN 0034-7531

Resumen

DURAN ALVAREZ, Sandalio; DIAZ ZAYAS, Niurka; BENITEZ RODRIGUEZ, Dayamí  y  PEREZ VALDES, Marilyn. Megaloureters, study and medical behavior. Rev Cubana Pediatr [online]. 2011, vol.83, n.3, pp.259-269. ISSN 0034-7531.

Introduction: the term megaloureter means a dilated ureter measuring more than 7 cm diameter and it is classified in: with return flow, obstructive and without return flow non obstructive. Objective: to show the clinical-imaging features and evolutionary of the patients with a urinary tract anomaly detected in the prenatal ultrasound and in the postnatal study there was a megaloureter. Methods: all children referred to nephrology consultation due to the presence of some urinary tract anomaly observed in the mother-fetal ultrasound underwent renal ultrasound. If in the postnatal ultrasound there was an uretherohydronephrosis dilatation, a prophylaxis with antibiotics was prescribed and a miction urethra-cystography was performed and if there was not vesicoureteral flow a dynamic scintigraphy was carried out. In the remainder five patients an excretory urogram and in two patients scintigraphy was repeated. Results: among the 318 patients referred due the presence of some anomaly of urinary tract cy prenatal ultrasound from January,1 to December, 31, 2010, six (1,9 %) were diagnosed with megaureters carriers after birth. The prenatal diagnoses were: pyelocaliectasis in only one kidney in one case and left renal agenesis in other case. The initial medical behavior was conservative in all of cases, but it was surgical at 2 years old (ureteral re-implantation) in one patient with an obstructive scintigraphic pattern and one kidney. A patient with one kidney and a stable obstructive pattern is under a periodical clinical-imaging control. Conclusions: the initial medical behavior in face of a non-obstructive and obstructive megaloureter must to be conservative. In cases of only one kidney the clinical-imaging control must to be strict to reimplantation of the ureter, if there is a progressive increase of dilatation.

Palabras clave : prenatal pyelocaliectasis dilatation; obstructive megaloureter; non-obstructive megaloureter; only one kidney.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons