TY - JOUR
T1 - Ureterocele causing anhydramnios successfully treated with percutaneous decompression
AU - Hansen, Wendy F.
AU - Cooper, Christopher S.
AU - Yankowitz, Jerome
PY - 2002
Y1 - 2002
N2 - BACKGROUND: Ureteroceles are congenital cystic dilatations of the submucosal segment of the distal ureter. We present a case of an intravesical ureterocele causing anhydramnios at 31 weeks' gestation. CASE: A primiparous woman near 20 weeks' gestation had ultrasound evidence of a fetal duplicated right collecting system. At 31 weeks, an intravesical ureterocele was seen along with bilateral hydroureteronephrosis and anhydramnios. A single percutaneous needle decompression of the bladder and ureterocele successfully restored amniotic fluid volume. CONCLUSION: Follow-up ultrasounds are indicated when either a duplicated renal collecting system or a ureterocele is identified. In utero treatment is indicated only when amniotic fluid is compromised. Needle decompression should be first-line treatment, with more invasive methods reserved for failures of decompression.
AB - BACKGROUND: Ureteroceles are congenital cystic dilatations of the submucosal segment of the distal ureter. We present a case of an intravesical ureterocele causing anhydramnios at 31 weeks' gestation. CASE: A primiparous woman near 20 weeks' gestation had ultrasound evidence of a fetal duplicated right collecting system. At 31 weeks, an intravesical ureterocele was seen along with bilateral hydroureteronephrosis and anhydramnios. A single percutaneous needle decompression of the bladder and ureterocele successfully restored amniotic fluid volume. CONCLUSION: Follow-up ultrasounds are indicated when either a duplicated renal collecting system or a ureterocele is identified. In utero treatment is indicated only when amniotic fluid is compromised. Needle decompression should be first-line treatment, with more invasive methods reserved for failures of decompression.
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U2 - 10.1016/S0029-7844(02)01966-X
DO - 10.1016/S0029-7844(02)01966-X
M3 - Article
C2 - 11975973
AN - SCOPUS:0036224014
SN - 0029-7844
VL - 99
SP - 953
EP - 956
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
IS - 5 SUPPL. 1
ER -