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Uretero Pelvic Junction Obstruction

2024-10-05 15:52:07
Hello Doctors, My baby born was born on 5th Sept (almost a month old now), weighing 3.6kg(4.4 kg as of 4th Oct) and during routine pregnancy check up, it was identified that he had a swollen kidney. A follow-up sonography post-delivery also confirmed the swelling. He seems healthy otherwise, passes urine without discolouration and has not other issues. Is this something to worry about. Is my baby safe?
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Answers (8)

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Please visit a pediatric surgeon. They are experts in dealing with this condition. This requires close follow up. Since it is mild it may resolve on its own

Answered2024-10-10 03:14:41

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Since the baby is having pelviureteric obstruction, you should do regular follow up
Next Steps
repeat scan at 4 weeks.
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watch for abnormal urine stream, reduced urine volume. if the child develops fever , urine routine examination should also be done.

Answered2024-10-07 04:12:58

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Please repeat the scan after 6 weeks again and if there is an increase in size or increase in obstruction.... Then treatment will be warranted... Till then continue with Breastfeeding and vaccination... Monitor his urine output and urine steam. Monitor if there is dripping of urine. These things are important in plan further plan

Answered2024-10-06 06:22:21

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Follow up as advised.

Answered2024-10-06 06:10:38

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Don't worry It may get resolved but we have to monitor size of AP diameter on USG do at 4/5 wk and then depend on size Just monitor urine output

Answered2024-10-09 15:25:07

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Need to repeat at 3 months and 1 year of age May require surgery depending on finding at that age

Answered2024-10-08 12:21:45

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It shows hydronephrosis

Answered2024-10-05 16:45:10

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If antenatal scan showing hydronephrosis.. then there is protocol to follow Postnataly initial scan in first week ..repeat at 4-6 wks Nd depending on AP diameter we have to decide next invesitgations.. Kindly consult with your paediatrician.. for further evaluation..

Answered2024-10-05 16:27:32

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