Patient's question:
Patient Age: Just born for 2 daysPremature Infant: Bilateral renal pelvis dilatation was detected at 30 weeks of gestation (left 1.1 cm, right 0.6 cm).
After 9 hours of birth (with one urination incident, time of urination unclear), ultrasound revealed resolution of right renal pelvis dilatation and left renal pelvis dilatation reduced to 0.242 cm.
Mother's pregnancy history:
1. Had one medication-induced abortion in 2007.
2. Had one full-term fetal demise and miscarriage in January 2009.
3. Became pregnant again in April 2009. In May, iron deficiency anemia was detected. From late July to early August, there was placental membrane separation. After a course of progesterone treatment, the placenta...
Doctor's answer:
Premature newborn: At 30 weeks of embryonic development, bilateral renal pelvis dilatation was found (left 1.1 cm, right 0.6 cm). After 9 hours of birth (with one urination incident, but the time of urination was unclear), a color Doppler ultrasound examination revealed resolution of right renal pelvis dilatation and a reduction in left renal pelvis dilatation to 0.24 cm.Advice: Generally speaking, if there is no dilatation, it may be due to congenital developmental malformation. However, it could also be a postnatal change. It is recommended to continue monitoring and perform follow-up ultrasound examinations. There is a possibility that it may resolve on its own during the next examination. If the condition persists, further evaluation should be conducted to determine if it is a malformation. Congenital malformations are typically formed during the embryonic stage and may be surgically correctable. The uterus can usually recover. Currently, the priority is to stop bleeding. If there is significant residual tissue, a D&C (dilation and curettage) may be necessary, as it may be difficult to control the bleeding otherwise.