تقرير
Transient Hyperechogenic Medullary Pyramids in a Neonate With Acute Kidney Injury.
العنوان: | Transient Hyperechogenic Medullary Pyramids in a Neonate With Acute Kidney Injury. |
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المؤلفون: | Gaur S; Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND., Parihar PH; Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND., Shelar SS; Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND., Gowda H; Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND. |
المصدر: | Cureus [Cureus] 2023 Oct 23; Vol. 15 (10), pp. e47508. Date of Electronic Publication: 2023 Oct 23 (Print Publication: 2023). |
نوع المنشور: | Case Reports |
اللغة: | English |
بيانات الدورية: | Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Palo Alto, CA : Cureus, Inc. |
مستخلص: | A neonate with acute kidney injury can present with decreased urine output and signs of dehydration. Sonography is used to evaluate the kidneys for structural deformities. A normal sonographic image of a neonatal kidney would show hypoechoic pyramids of the medulla. However, less frequently occurring neonatal transient renal failure with renal medullary hyperechogenicity has been linked to severe perinatal renal damage, kidney abnormalities, or nephrocalcinosis. A simple conventional sonography in neonates can be helpful in predicting the severity of renal damage in such cases. Hyperechogenecity of the medulla in contrast to the normal hypoechogenic medulla of normal neonates can be due to multiple causes. However one must bear in mind that this finding of hyperechoic tips of renal pyramids is not indicative of intrinsic renal disease and subsides without intervention if physiologic or with rehydration if due to hypernatraemic dehydration. It is important for a physician to know about this physiological variant seen in neonates who present with dehydration. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Gaur et al.) |
References: | Pediatr Nephrol. 2010 Feb;25(2):221-30. (PMID: 18797936) Pediatrics. 2021 Nov;148(5):. (PMID: 34599008) Clin Radiol. 1999 Apr;54(4):233-6. (PMID: 10210342) Front Pediatr. 2022 Apr 07;10:842544. (PMID: 35463895) Pediatr Res. 2017 Oct;82(4):569-573. (PMID: 28604760) Pediatr Nephrol. 2005 Jul;20(7):904-9. (PMID: 15880271) |
فهرسة مساهمة: | Keywords: acute kidney injury; dehydration; medulla; neonate; ultrasound |
تواريخ الأحداث: | Date Created: 20231129 Latest Revision: 20231201 |
رمز التحديث: | 20240628 |
مُعرف محوري في PubMed: | PMC10664045 |
DOI: | 10.7759/cureus.47508 |
PMID: | 38022215 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2168-8184 |
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DOI: | 10.7759/cureus.47508 |