Prenatal Anhydramnios in a Girl: An Exceptional Case of Obstruction by Bilateral Ectopic Ureter

B. Fernández-Bautista
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Abstract

The presence of posterior urethral valves as a cause of oligoamnios is well known. Differential diagnosis should be established with other pathologies such as prune-belly syndrome, high-grade vesicoureteral reflux, bilateral obstructive megaureter, urethral atresia, obstruction of the anterior urethra, ureteroceles and less frequently the presence of an obstructed bilateral ectopic system [1]. The ectopic ureter is more frequent in girls, associated with a duplicated renoureteral system and rarely associated with bilateral obstruction of the urinary tract. We present an exceptional case of anhydramnios in a female fetus secondary to obstruction of a bilateral ectopic ureter and a duplicated left system with severe worsening of renal function.
女孩产前羊水无:双侧异位输尿管梗阻一例
后尿道瓣膜的存在是羊膜过少的一个原因是众所周知的。鉴别诊断应与其他病理相结合,如梅子腹综合征、高度膀胱输尿管反流、双侧梗阻性测量、尿道闭锁、前尿道梗阻、输尿管膨出,以及较少出现的双侧异位系统梗阻性[1]。异位输尿管在女孩中更为常见,与重复的输尿管系统有关,很少与双侧尿路梗阻有关。我们提出一个例外的情况下,羊水在一个女胎儿继发梗阻双侧异位输尿管和重复的左系统严重恶化肾功能。
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