Postnatal Presentation of

Dr Nowsheeba Khurshid; Dr Nidhi Puri; Dr Ashfaq ul Hassan

Volume : VI, Issue : VII, July - 2017

Postnatal Presentation of "Antenatal Hydronephrosis" - Anatomical and Embryological Perspective

Dr Nowsheeba Khurshid, Dr Nidhi Puri, Dr Ashfaq Ul Hassan

Abstract :

Antenatal hydronephrosis is the dilatation of collecting system of fetal kidney and common anomaly detected during fetal ultrasonography. The condition may be unilateral or bilateral and usually resolves by birth or during infancy, while others may require intervention. CASE REPORT: Here patient was diagnosed with antenatal bilateral hydronephrosis on routine USG at 6 months of fetal life. At birth both kidneys were normal with no hydronephrosis as per USG findings done on 7th day. At 3rd month patient had feile UTI with positive urine culture, USG showing left sided hydronephrosis with Antero Posterior diameter of 19 mm of renal pelvis, antibiotics were started and vesico-ureteric reflux was ruled off on Micturating Cyctourethogram. Patient was on prophylactic antibiotic and USG at 7 months showed AnteroPosterior diameter of 8mm of left kidney, she left antibiotic at 1 year of age . Patient is presently 16 months old , and she is doing well without antibiotic , her lt kidney AP diameter is maintained at 8mm.In most cases hydronephrosis resolves itself within 1 year postnataly, it is important to select an appropriate postnatal imaging and to follow up based on clinical scenario and to prescribe prophylactic antibiotics to those patients most likely to benefit and rule out if any surgical intervention is needed.