Urinary System anomalies at birth

Authors

  • Sharada B. Menasinkai Department of Anatomy, Mysore Medical College and Research Institute, Mysore, Karnataka
  • Mahantappa A. Chiniwar Department of Obstetrics & Gynaecology Adi Chunchangiri Institute Medical Sciences, Bellur, Mandya, Karnataka
  • G. Saraswathi Department of Anatomy J.S.S. Medical College, Mysore, Karnataka

Keywords:

Hydronephrosis, MCDK, Omphalocele, Anophthalmia, Renal agenesis, Ultrasound (U/S)

Abstract

Background: Congenital anomalies of urinary system are common and are found in 3-4% of population, and lethal urinary anomalies account for 10% of termination of pregnancy.

Methods: A study was done to know the incidence of congenital anomalies at birth for the period of 4 months from May 99 - Sept 99 at Cheluvamba hospital attached to Mysore medical college. Congenital anomalies in the still births, live births and aborted fetuses >20 weeks were studied along with the case history and ultrasound reports. Aborted fetuses and still born babies were collected for autopsy after the consent of parents. These babies were fixed in 10% formalin and autopsy was done after fixing, and anomalies were noted.

Results: Total births during study period were 3000. There were 61 babies with congenital anomalies and 6 babies had anomalies of urinary system. Among the urinary system anomalies 1 baby had bilateral renal agenesis, 1 baby had unilateral renal agenesis with anophthalmia (Fraser syndrome), 2 babies had Multicystic dysplastic kidney disease (MCDK) and 1 live baby had hydronephrosis due to obstruction at pelvi ureteric junction, and 1 live female baby had polycystic kidneys.

Conclusion: Incidence of urinary system anomalies in the present study was 2 per 1000 births. U/S detection of urinary anomalies varies with period of gestation, amniotic fluid volume and visualisation of urinary bladder. Autopsy helps to detect renal agenesis.

 

References

William J. Larsen. Development of urogenital system - clinical applications. In: William J. Larsen, eds. Human Embryology. 2nd ed. London: Churchill Livingstone Elsevier; 1997: 261-289.

Carol M. Rumack, Stephanie R. Wilson, J. William Charboneau. The fetal urogenital tract. In: Carol M. Rumack, Stephanie R. Wilson, J. William Charboneau, eds. Diagnostic Ultrasound. 3rd ed. US: Elsevier Mosby; 2010: 1398-1414.

Manisha Kumar, Usha Gupta, Seema Takur, Silpi Aggarwal, Jyothi Meena, Sumedha Sharma, et al. Prenatal sonographic evaluation and postnatal outcome of renal anomalies. Indian J Hum Genet. 2012;18(1):75-82.

Tulika Gupta, Kanchan Kapoor, A. Sharma, A. Huria. The Frequencies of the urinary anomalies which were detected in a foetal autopsy study. J Clin Diagn Res. 2012;6(10):1615-9.

Amar Taksande, Krishna Vilhekar, Pushpa Cheturvedi, Manish Jain. Congenital malformations at birth in central India: a rural medical college hospital based data. Indian J Hum Genet. 2010;16(3):159-63.

Hemonta Kr. Datta, N. C. Bhattacharyya, J. N. Sharma, Giriraj Kusre. Congenital malformations in Assam. J. Indian Assoc Pediatr Surg. 2010;15(2):53-5.

Neelam Grover. Congenital malformations in Shimla. Indian J Pediatr. 2000;67(4):249-51.

Varsha Deshmukh, Priya Agarwal, Kannan Yelikar. A case-control study on birth defects and associated risk factors. JPOG. 2011;10(2):372-6.

Ahuka OL, Toko RM, Omanga FU, Tshimpanga BJ. Congenital malformations in the north-eastern democratic republic of congo during civil war. East Am Med J. 2006;83(2):95-9.

Swain S, Agarwal A, Bhatia BD. Congenital malformations at birth. Indian Pediatr. 1994;31:1187-91.

Downloads

Published

2017-01-07

How to Cite

Menasinkai, S. B., Chiniwar, M. A., & Saraswathi, G. (2017). Urinary System anomalies at birth. International Journal of Research in Medical Sciences, 3(3), 743–748. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/1368

Issue

Section

Original Research Articles