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Fetal urinoma: two new cases and a review of the literature
Author(s) -
Gorincour G.,
Rypens F.,
ToiviainenSalo S.,
Grig A.,
Lambert R.,
Audibert F.,
Garel L.,
Fournet J.C.
Publication year - 2006
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.2830
Subject(s) - medicine , urinoma , fetus , obstetrics , pregnancy , urinary system , biology , genetics
Objective To evaluate the functional prognosis of kidneys affected prenatally by urinomas. Methods This was a retrospective review of cases of fetal urinoma reported in the literature, as well as two of our own cases. Results Twenty‐three patients with a prenatal diagnosis of urinoma (five bilateral) were included in the analysis. Postnatal ipsilateral renal function was observed in only six of the 28 renal units (i.e. around 20%). Conclusions Although the precise causes of urinomas are still unknown, this review shows that in the event of a fetal urinoma, the probability of a non‐functional dysplastic ipsilateral kidney lies at around 80%. In‐utero puncture only appears to be justified in cases where fluid accumulation has mass effects on adjacent major structures. Copyright © 2006 ISUOG. Published by John Wiley & Sons, Ltd.