[Prenatal diagnosis of uropathies: a review of 10 cases]

Obstructive uropathies are a frequent cause of child renal failure. The prenatal diagnosis of such abnomalies should lead to appropriate management. to evaluate the interest of ultrosonographic prenatal diagnosis of urinary tract malformations retrospective study of 10 cases of urinary tract malformations diagnosed in utero. The mean age of the patients was 34,9 years and the mean gestationnal age at the prenatal diagnosis was 28,2 weeks of amenorrhea. The abnormalties diagnosed were: 2 cases of ureteropelvic junction obstruction, 3 cases of posterior urethral valves and 5 cases of mild hydronephrosis. The fetal karyotype, realised in 8 cases, was normal. In one case the urinary abnormalties was part of a multiple malformation syndrome and led to the termination of the pregnancy. 7 cases had a postnatal follow-up: 5 had a surgical management and two new borns had transient pyelectasies. The prediction of postnatal renal function is made by ultrasonographic appearence of the kidney and the amniotic fluid. Although the analysis of fetal urine for the assesment of renal function leads to conflicting results, it seems that sodium and beta-2 microglobulin urinary rates provide useful informations

[Ultrasonographic diagnosis of ectopic pregnancy. a review of 109 cases]

To assess the accuracy of Ultrasonographic diagnosis of ectopic pregnancies. A retrospective study of Ultrasonographic findings of 109 patients operated for ectopic pregnancy between January 1997 and December 1998. Ultrasonography was performed with an Aloka SSD 620 sonographic imager and a 5 MHz endovaginol transducer. All patients had a transvaginal sonography. Of these, 15 had a transobdominal sonogrophy. Ultrasonographic findings of the 109 ectopic pregnancies were on extrauterine gestotionnal sac in 10 cases [9,17%], on adnexel mass clearly separated from uterus and ovary in 87 cases [79,81%], a pelvic fluid in 90 cases [82,56%] and pseudogestationnal sac in 6 cases. Ultrasonographic established the diagnosis of ectopic pregnancy in 89% of cases. Serum B HCG level was needed for diagnosis in 12 cases [11%]. Transvaginal sonography is the method of choice for the evaluation of women with a suspected ectopic pregnancy. However, serum B HCG levels are useful for diagnosis in 11% of cases