Sonographic Finding of Persistent Renal Pelvic Wall Thickening in Children
Renal pelvic wall thickening (RPWT) is a sonographic finding, which is associated with urinary tract infection (UTI) and other genitourinary tract abnormalities. We aimed to determine the prevalence of RPWT and whether persistent RPWT related to vesicoureteral reflux (VUR). Materials and methods: We...
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Format: | Article |
Language: | English |
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Elsevier
2014-08-01
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Series: | Pediatrics and Neonatology |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957213002210 |
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author | Nai-Chia Fan You-Lin Tain |
author_facet | Nai-Chia Fan You-Lin Tain |
author_sort | Nai-Chia Fan |
collection | DOAJ |
description | Renal pelvic wall thickening (RPWT) is a sonographic finding, which is associated with urinary tract infection (UTI) and other genitourinary tract abnormalities. We aimed to determine the prevalence of RPWT and whether persistent RPWT related to vesicoureteral reflux (VUR).
Materials and methods: We retrospectively reviewed sonographic findings of RPWT in children and adolescents referred for renal ultrasound study from January 2010 to December 2011. A total of 502 patients showing RPWT were included, 372 of whom received follow-up sonograms. Among them, 86 children underwent both follow-up sonograms and voiding cystourethrography studies. The association between persistent RPWT and VUR was analyzed.
Results: A total of 602 sonograms with RPWT were identified, accounting for a prevalence of 11.4%. Follow-up sonograms, revealing that these patients had recovered from RPWT, was found in 93.7% (459/490) of renal units and in 92.7% (345/372) of the patients. Children with persistent RPWT had a strong association with VUR occurrence (p = 0.018) and high VUR grading (p = 0.006) compared to those without persistent RPWT.
Conclusion: RPWT is a common finding in children and adolescents. Persistent RPWT is associated with VUR, especially with high grade VUR. Complementary uroradiological studies should be performed for children and adolescents with persistent RPWT. |
first_indexed | 2024-12-13T14:20:04Z |
format | Article |
id | doaj.art-af8754cacb884922abb32ae3e918e64e |
institution | Directory Open Access Journal |
issn | 1875-9572 |
language | English |
last_indexed | 2024-12-13T14:20:04Z |
publishDate | 2014-08-01 |
publisher | Elsevier |
record_format | Article |
series | Pediatrics and Neonatology |
spelling | doaj.art-af8754cacb884922abb32ae3e918e64e2022-12-21T23:42:06ZengElsevierPediatrics and Neonatology1875-95722014-08-0155426927410.1016/j.pedneo.2013.10.007Sonographic Finding of Persistent Renal Pelvic Wall Thickening in ChildrenNai-Chia FanYou-Lin TainRenal pelvic wall thickening (RPWT) is a sonographic finding, which is associated with urinary tract infection (UTI) and other genitourinary tract abnormalities. We aimed to determine the prevalence of RPWT and whether persistent RPWT related to vesicoureteral reflux (VUR). Materials and methods: We retrospectively reviewed sonographic findings of RPWT in children and adolescents referred for renal ultrasound study from January 2010 to December 2011. A total of 502 patients showing RPWT were included, 372 of whom received follow-up sonograms. Among them, 86 children underwent both follow-up sonograms and voiding cystourethrography studies. The association between persistent RPWT and VUR was analyzed. Results: A total of 602 sonograms with RPWT were identified, accounting for a prevalence of 11.4%. Follow-up sonograms, revealing that these patients had recovered from RPWT, was found in 93.7% (459/490) of renal units and in 92.7% (345/372) of the patients. Children with persistent RPWT had a strong association with VUR occurrence (p = 0.018) and high VUR grading (p = 0.006) compared to those without persistent RPWT. Conclusion: RPWT is a common finding in children and adolescents. Persistent RPWT is associated with VUR, especially with high grade VUR. Complementary uroradiological studies should be performed for children and adolescents with persistent RPWT.http://www.sciencedirect.com/science/article/pii/S1875957213002210renal pelvic wall thickeningultrasoundvesicoureteral refluxvoiding cystourethrography |
spellingShingle | Nai-Chia Fan You-Lin Tain Sonographic Finding of Persistent Renal Pelvic Wall Thickening in Children Pediatrics and Neonatology renal pelvic wall thickening ultrasound vesicoureteral reflux voiding cystourethrography |
title | Sonographic Finding of Persistent Renal Pelvic Wall Thickening in Children |
title_full | Sonographic Finding of Persistent Renal Pelvic Wall Thickening in Children |
title_fullStr | Sonographic Finding of Persistent Renal Pelvic Wall Thickening in Children |
title_full_unstemmed | Sonographic Finding of Persistent Renal Pelvic Wall Thickening in Children |
title_short | Sonographic Finding of Persistent Renal Pelvic Wall Thickening in Children |
title_sort | sonographic finding of persistent renal pelvic wall thickening in children |
topic | renal pelvic wall thickening ultrasound vesicoureteral reflux voiding cystourethrography |
url | http://www.sciencedirect.com/science/article/pii/S1875957213002210 |
work_keys_str_mv | AT naichiafan sonographicfindingofpersistentrenalpelvicwallthickeninginchildren AT youlintain sonographicfindingofpersistentrenalpelvicwallthickeninginchildren |