Contribution of Serial Focused High-Resolution Renal Ultrasound in the Management of a Neonate in Acute Renal Failure
Most newborns begin urinating within 24hours of life, and almost always by 48hours. Rarely, some of them are anuric beyond 24hours, thereby causing concern to parents and treating doctors. We report the case of a newborn who presented with anuria till 48hours after birth. High-resolution ultrasound...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-12-01
|
| Series: | Indian Journal of Radiology and Imaging |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1757117 |
| _version_ | 1811322695003930624 |
|---|---|
| author | Rajesh Gothi Dinesh Raj |
| author_facet | Rajesh Gothi Dinesh Raj |
| author_sort | Rajesh Gothi |
| collection | DOAJ |
| description | Most newborns begin urinating within 24hours of life, and almost always by 48hours. Rarely, some of them are anuric beyond 24hours, thereby causing concern to parents and treating doctors. We report the case of a newborn who presented with anuria till 48hours after birth. High-resolution ultrasound examination, focusing on the renal medulla, demonstrated increased echogenicity at the tip of the pyramids. This was attributed to slow clearance of urinary sediment deposited there, which was causing obstruction to the urinary outflow. On monitoring serially over the next few days, the echogenic sludge was observed being slowly eliminated leading thereby to improvement in the urinary output. High-resolution ultrasound focusing on the renal pyramids played an important role in the observation and management of this transient event unfolding, in the urinary tract. |
| first_indexed | 2024-04-13T13:40:40Z |
| format | Article |
| id | doaj.art-e0138c9539574be48d2b08ca435cc0f4 |
| institution | Directory Open Access Journal |
| issn | 0971-3026 1998-3808 |
| language | English |
| last_indexed | 2024-04-13T13:40:40Z |
| publishDate | 2022-12-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Radiology and Imaging |
| spelling | doaj.art-e0138c9539574be48d2b08ca435cc0f42022-12-22T02:44:40ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082022-12-01320460160610.1055/s-0042-1757117Contribution of Serial Focused High-Resolution Renal Ultrasound in the Management of a Neonate in Acute Renal FailureRajesh Gothi0Dinesh Raj1Department of Radiodiagnosis, Holy Family Hospital, New Delhi, IndiaDepartment of Pediatrics, Holy Family Hospital, New Delhi, IndiaMost newborns begin urinating within 24hours of life, and almost always by 48hours. Rarely, some of them are anuric beyond 24hours, thereby causing concern to parents and treating doctors. We report the case of a newborn who presented with anuria till 48hours after birth. High-resolution ultrasound examination, focusing on the renal medulla, demonstrated increased echogenicity at the tip of the pyramids. This was attributed to slow clearance of urinary sediment deposited there, which was causing obstruction to the urinary outflow. On monitoring serially over the next few days, the echogenic sludge was observed being slowly eliminated leading thereby to improvement in the urinary output. High-resolution ultrasound focusing on the renal pyramids played an important role in the observation and management of this transient event unfolding, in the urinary tract.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1757117pyramidsechogenicityanuriarenal medullaechogenic sludge |
| spellingShingle | Rajesh Gothi Dinesh Raj Contribution of Serial Focused High-Resolution Renal Ultrasound in the Management of a Neonate in Acute Renal Failure Indian Journal of Radiology and Imaging pyramids echogenicity anuria renal medulla echogenic sludge |
| title | Contribution of Serial Focused High-Resolution Renal Ultrasound in the Management of a Neonate in Acute Renal Failure |
| title_full | Contribution of Serial Focused High-Resolution Renal Ultrasound in the Management of a Neonate in Acute Renal Failure |
| title_fullStr | Contribution of Serial Focused High-Resolution Renal Ultrasound in the Management of a Neonate in Acute Renal Failure |
| title_full_unstemmed | Contribution of Serial Focused High-Resolution Renal Ultrasound in the Management of a Neonate in Acute Renal Failure |
| title_short | Contribution of Serial Focused High-Resolution Renal Ultrasound in the Management of a Neonate in Acute Renal Failure |
| title_sort | contribution of serial focused high resolution renal ultrasound in the management of a neonate in acute renal failure |
| topic | pyramids echogenicity anuria renal medulla echogenic sludge |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1757117 |
| work_keys_str_mv | AT rajeshgothi contributionofserialfocusedhighresolutionrenalultrasoundinthemanagementofaneonateinacuterenalfailure AT dineshraj contributionofserialfocusedhighresolutionrenalultrasoundinthemanagementofaneonateinacuterenalfailure |