1/6. Renal tubular dysgenesis-a case presentation.Renal tubular dysgenesis (RTD) is a lethal, developmental anomaly of the fetal kidney characterized by a defect in differentiation of the proximal and distal convoluted tubules. It is usually associated with oligohydramnios in later pregnancy and Potter's syndrome. A neonate with typical features who presented with mild respiratory distress, dysmorphic appearance and anuria is described. At the age of seven days, peritoneal dialysis was started and was continued until the death of the baby at the age of three months. The diagnosis was made on the bases of clinical and ultrasonographic findings confirmed by renal biopsy. A review of the literature showed that this is the first case of RTD reported in turkey.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
2/6. pregnancy in a hemodialysis patient with no residual renal function.Pregnancies have occurred in a few patients with end-stage renal disease requiring dialysis. The presence of significant residual renal function has normally been required for successful outcome. We report a pregnancy in a patient with complete anuria. Although birth occurred prematurely, fetal growth remained normal throughout gestation.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
3/6. Neonatal renal failure: a complication of maternal antihypertensive therapy.Persistent anuria was diagnosed in a neonate born to a mother whose pregnancy was complicated by severe hypertension and systemic lupus erythematosus. Severe maternal hypertension necessitated the use of a battery of antihypertensive medications that included enalapril, an angiotensin converting enzyme inhibitor. The role of enalapril in neonatal renal failure is discussed.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
4/6. Postpartum anuria caused by silent bilateral nephrolithiasis.A case of remarkable silent anuria caused by bilateral nephrolithiasis in the post-partum period is reported. The anuria was not associated with any kind of pain and the diagnosis was not revealed until three days postpartum when an intravenous pyelography was carried out. Differential diagnosis and management of nephrolithiasis are discussed. Ultrasound scanning is recommended as a routine procedure for all patients with signs and symptoms of renal dysfunction during pregnancy.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
5/6. The use of urinary diagnostic indices in pre-eclampsia-associated oliguria.A case is presented of severe pregnancy-induced hypertension that was complicated by oliguria and managed with the aid of a pulmonary artery catheter. This case illustrates that urinary diagnostic indices may be unreliable in predicting the etiology of oliguria. Although urinary diagnostic tests are advocated routinely as reliable in the nonobstetric literature, possible misinterpretation of these values in severe pre-eclampsia with oliguria may require confirmation with hemodynamic data obtained from a pulmonary artery catheter.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
6/6. Angiotensin-converting enzyme inhibitor fetopathy.Angiotensin-converting enzyme (ACE) inhibitors are widely used for controlling hypertension. Their use in women who are pregnant is not without risk to the fetus. We describe three infants exposed in utero to ACE inhibitors who had adverse outcomes. These cases, combined with other reports in the literature, suggest strongly that these drugs are fetotoxic. ACE inhibitor fetopathy is characterized by fetal hypotension, anuria-oligohydramnios, growth restriction, pulmonary hypoplasia, renal tubular dysplasia, and hypocalvaria. Although the true frequency of adverse fetal effects has yet to be determined, because of the debilitating and lethal nature of the fetal damage when it occurs, it is our recommendation that ACE inhibitors not be used in pregnancy, particularly in the second and third trimesters.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |