胎児非典型的多嚢胞腎症例の尿産生量の経時的推移

• 津田 浩史

  大阪市立大学医学部産科婦人科学教室

• 今中 基晴

  大阪市立大学医学部産科婦人科学教室

• 荻田 幸雄

  大阪市立大学医学部産科婦人科学教室

• 新宅 晴夫

  大阪市立大学医学部小児科学教室

書誌事項

タイトル別名

• Urine production in a case of atypical fetal polycystic kidney disease. A case report.
• A case report

抄録

We recently experienced a case of atypical fetal polycystic kidney disease (IPKD). This case showed reduced amniotic fluid and fetal urine production at 30 weeks of gestation. The mother was admitted to our hospital. During admission, the sonographic findings for the fetus demonstrated a normal appearing bladder, oligohydramnios, bilateral hyperechoic kidney (not enlarged), and reduced fetal urine production.<BR>These findings suggested a diagnosis of atypical fetal polycystic kidney disease. Cesarean section was performed at 40weeks of gestation due to fetal distress. The male newborn, who weighed 2770 grams, had an Apgar score of four at 1 min and five at 5 min. Bilateral pneumothorax occurred in the newborn immediately after birth, and there was a marked reduction in renal function from day 7 after birth. USG demonstrated many polycystic regions (5-10mm), and the medulla was poorly separated from the renal sinus in the bilateral kidneys. Accordingly, the newborn was diagnosed as having IPKD. At present, 2 years after birth, the infant, who has been undergoing chronic hemodialysis, is well.

収録刊行物

• 産婦人科の進歩

  産婦人科の進歩 44 (4), 380-384, 1992

  近畿産科婦人科学会

キーワード

• Infantile polycystic kidney disease
• Ultrasonography
• Urine production

詳細情報

• CRID: 1390282679923720448
• NII論文ID: 130004069562
• DOI: 10.11437/sanpunosinpo1949.44.380
• ISSN: 13476742
• ISSN: 03708446
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可