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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Kidney Mild Dilation. Fetus Diagnosed With Down Syndrome. Loops Of Cord Around Neck. What Is Wrong?

My wife is 35th week pregnant, today scan report says right kidney mild dilation of 10 mm and extra renal pelvis .Also fetus was diagnosed with down syndrome on the double marker test ie 1 in 120 but NT scan was not considered while calculating . Also scan report says 2 loops of cord around the neck today.Please advise.Hoe can this mild dilation and extra renal pelvis be cured.
Wed, 17 Oct 2012
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Urologist,  's  Response
Hallo
Thanks for your query.Ultrasound scan of your wife who is in 35 weeks pregnancy suggest extrareanl pelvis and dilatation of Renal pelvis.This indicates Pelvi Ureteric Junction Obstruction. whereby there is narrowing of the junction of Renal Pelvis and Ureter,If this is complete it may obstruct the drainage of the urine from that kidney in to the bladder which over a period of time will damage the kidney. Once the baby is born you have to do few investigations like Intravenous Pyelography,DTPA Renal scan and ultrasound scan to ascertain the degree of obstruction.Further treatment will be decided on findings of above tests.So consult some Urologist after the birth of a baby.
Thanks.
Dr.Patil
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Kidney Mild Dilation. Fetus Diagnosed With Down Syndrome. Loops Of Cord Around Neck. What Is Wrong?

Hallo Thanks for your query.Ultrasound scan of your wife who is in 35 weeks pregnancy suggest extrareanl pelvis and dilatation of Renal pelvis.This indicates Pelvi Ureteric Junction Obstruction. whereby there is narrowing of the junction of Renal Pelvis and Ureter,If this is complete it may obstruct the drainage of the urine from that kidney in to the bladder which over a period of time will damage the kidney. Once the baby is born you have to do few investigations like Intravenous Pyelography,DTPA Renal scan and ultrasound scan to ascertain the degree of obstruction.Further treatment will be decided on findings of above tests.So consult some Urologist after the birth of a baby. Thanks. Dr.Patil