Congenital hydronphrosis in a pediatric patient: image assessment of a clinical case: Investigation article

Revista Científica Arbitrada en Investigaciones de la Salud GESTAR

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Title Congenital hydronphrosis in a pediatric patient: image assessment of a clinical case: Investigation article
Hidronefrosis congénita en paciente pediátrico: valoración por imágenes de un caso clínico: Artículo de investigación
 
Creator Mosquera-Pinargote, Everling
 
Subject Hidronefrosis congénita
diagnóstico prenatal
ultrasonido
Congenital hydronephrosis
prenatal diagnosis
ultrasound
 
Description Among the renal anomalies that affect the fetus and the newborn, hydronephrosis is the most frequent of them, well ahead of others such as agenesis, dysplasias or renal tumor lesions. This describes the presence of a dilation of the renal collecting system based on the anteroposterior diameter of the renal pelvis measured by ultrasound; it is considered normal when it is below 7 mm. Currently most diagnoses of hydronephrosis are made during the antenatal period and thanks to this there have been numerous advances in the knowledge of congenital malformations of the fetus, the diagnosis and design of better management strategies for the pregnant mother and to the early treatment in the postnatal life of these fetuses. We present the clinical case of a 7-year-old patient who came to an ultrasound center with an order for renoureteral bladder ultrasonography for renal pathology control, with a history of hydronephrosis detected in the prenatal stage and complications of it currently. Ultrasound is the study of choice for the diagnosis and monitoring of congenital hydronephrosis, however, simple ultrasound does not provide data on renal function. The development and generalization of the use of ultrasounds coincided in time with the development of other diagnostic imaging techniques, which allow the urologist to more accurately track therapeutic decisions.
Keywords: Congenital hydronephrosis, prenatal diagnosis, ultrasound.
Entre las anomalías renales que afectan al feto y al recién nacido, la hidronefrosis es la más frecuente, muy por delante de otras como las agenesias, displasias o lesiones tumorales renales. Esta anomalía se caracteriza por la presencia de una dilatación del sistema colector renal que en función del diámetro anteroposterior de la pelvis renal, medido por ecografía, se considera que es normal cuando se encuentra por debajo de 7 mm. En la actualidad la mayoría de los diagnósticos de hidronefrosis se realizan durante el período antenatal y gracias a esto se han producido numerosos avances en el conocimiento de las malformaciones congénitas del feto, debido principalmente al diagnóstico y al diseño de mejores estrategias de manejo de la madre gestante y al tratamiento precoz en la vida postnatal de esos fetos. Se presenta el caso clínico de un paciente de 7 años de edad que acude a centro ecográfico con orden para ultrasonografía renoureteral vesical, por motivo de control de patología renal, con antecedentes de hidronefrosis detectada en etapa prenatal y complicaciones detectadas en la actualidad. La ecografía es el estudio de elección principal para el diagnóstico y seguimiento de una hidronefrosis congénita, sin embargo, la ecografía simple no aporta datos de la función renal. El desarrollo y generalización del uso de los ultrasonidos coincidió en el tiempo con el desarrollo de otras técnicas de diagnóstico por imagen, que permiten al urólogo realizar un seguimiento más exacto de las decisiones terapéuticas que debe tomar.
Palabras clave: Hidronefrosis congénita, diagnóstico prenatal, ultrasonido.
Abstract
Among the renal anomalies that affect the fetus and the newborn, hydronephrosis is the most frequent of them, well ahead of others such as agenesis, dysplasias or renal tumor lesions. This describes the presence of a dilation of the renal collecting system based on the anteroposterior diameter of the renal pelvis measured by ultrasound; it is considered normal when it is below 7 mm. Currently most diagnoses of hydronephrosis are made during the antenatal period and thanks to this there have been numerous advances in the knowledge of congenital malformations of the fetus, the diagnosis and design of better management strategies for the pregnant mother and to the early treatment in the postnatal life of these fetuses. We present the clinical case of a 7-year-old patient who came to an ultrasound center with an order for renoureteral bladder ultrasonography for renal pathology control, with a history of hydronephrosis detected in the prenatal stage and complications of it currently. Ultrasound is the study of choice for the diagnosis and monitoring of congenital hydronephrosis, however, simple ultrasound does not provide data on renal function. The development and generalization of the use of ultrasounds coincided in time with the development of other diagnostic imaging techniques, which allow the urologist to more accurately track therapeutic decisions.
Keywords: Congenital hydronephrosis, prenatal diagnosis, ultrasound.
Información del manuscrito:Fecha de recepción: 22 de marzo de 2019Fecha de aceptación: 15 de mayo de 2019Fecha de publicación: 10 de julio de 2019
 
Publisher IBKNORGCORP S.A.
 
Date 2019-07-10
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
text/html
 
Identifier https://journalgestar.org/index.php/gestar/article/view/6
10.46296/gt.v2i4.0008
 
Source GESTAR Arbitrated Scientific Journal in Health Research. ISSN: 2737-6273.; Vol. 2 No. 4 (2019): GESTAR Arbitrated Scientific Journal in Health Research; 2-16
Revista Científica Arbitrada en Investigaciones de la Salud GESTAR. ISSN: 2737-6273.; Vol. 2 Núm. 4 (2019): Revista Científica Arbitrada en Investigaciones de la Salud GESTAR; 2-16
2737-6273
 
Language spa
 
Relation https://journalgestar.org/index.php/gestar/article/view/6/6
https://journalgestar.org/index.php/gestar/article/view/6/7
 
Rights Derechos de autor 2019 Revista Científica Arbitrada en Investigaciones de la Salud GESTAR
https://creativecommons.org/licenses/by-nc-sa/4.0
 

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