Prenatal ultrasonographic diagnosis and prognosis assessment of fetal perirenal urinoma: analysis of eight cases
10.3760/cma.j.cn113903-20240520-00360
- VernacularTitle:胎儿肾周尿性囊肿的产前超声诊断及预后：8例分析
- Author:
Jie CHENG
1
;
Suzhen RAN
1
;
Xiaohang ZHANG
1
;
Lifang TAN
1
;
Dianhong KANG
1
;
Xi WANG
1
Author Information
1. 重庆医科大学附属妇女儿童医院超声科，重庆 401147
- Publication Type:Journal Article
- Keywords:
Prenatal ultrasound diagnosis;
Perirenal Urinoma;
Giant cystic mass in the abdominal cavity;
Hydronephrosis
- From:
Chinese Journal of Perinatal Medicine
2025;28(4):301-305
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the prenatal ultrasonographic features and prognosis of fetal perirenal urinoma.Methods:This retrospective study included eight fetuses with perirenal urinoma diagnosed by prenatal ultrasound in the Women and Children's Hospital of Chongqing Medical University from January 2017 to August 2023. Descriptive analysis was performed on their prenatal ultrasonographic features, intrauterine intervention measures, postnatal treatment, and prognosis.Results:Among the eight cases, the prenatal ultrasonographic diagnosis was consistent with the postnatal clinical diagnosis in seven cases, with one misdiagnosis (postnatally confirmed as giant renal cyst with multicystic dysplastic kidney). Prenatal ultrasonographic features of fetal perirenal urinoma included cystic mass adjacent to the renal capsule; obvious compression of the surrounding organs and the affected kidney; increased craniocaudal diameter of the affected kidney with thin parenchyma, increased echogenicity, indistinct corticomedullary differentiation, and pyeletasis; poorly visualized partial renal arteries; normal or mildly enlarged contralateral kidney; adequate bladder filling; normal amniotic fluid volume. Two cases underwent intrauterine cyst aspiration with subsequent cyst size reduction (slight re-enlargement during follow-up). Among the remaining six untreated cases, one case showed stable cyst size, while five cases exhibited initial significant cyst enlargement followed by stabilization or regression trend. All eight cases were born at full term (three delivered vaginally and five by cesarean section). The affected kidney was significantly atrophied within one week after birth by ultrasound observation. Impaired function of the affected kidney was shown in four patients by follow-up after discharge (including two cases of intrauterine treatment),one case abandoned treatment due to other illnesses, two cases were lost to follow-up after discharge.Conclusions:Prenatal ultrasound images of perirenal urinary cysts infetuses exhibit typical features. Intrauterine treatment can reduce the compression of large cysts and hydronephrosis on fetal organs, but there is no significant improvement in the recovery of renal function.
