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KMID : 0358420040470122481
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Korean Journal of Obstetrics and Gynecology
2004 Volume.47 No. 12 p.2481 ~ p.2484
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Vesico-Amniotic Shunting in Fetal Posterior Urethral Valve Syndrome
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황태기/Hwang TK
하민숙/이상경/이인하/박연진/지일운/정은환/김학순/Ha MS/Lee SK/Lee IH/Park YJ/Ji IW/Jeong EH/Kim HS
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Abstract
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Fetal posterior urethral valve syndrome results in potentially lethal complications including renal dysplasia, pulmonary hypoplasia. Antenatal fetal vesicocentesis and amniotic fluid infusion may be useful to improve neonatal pulmonary function, however rapid recurrence of urinary retention and oligohydramnios usually required repetitive invasive procedures. We successfully treated a posterior urethral valve syndrome with vesico-amniotic shunt. Under ultrasonographic guidence, we inserted a Double-Basket Catheter into fetal urinary bladder through lower abdominal wall at second trimester. Shunt remained in place until the fetus was delivered at 35th gestational week. The vesico-amniotic shunt can improve fetal outcome and avoid repeated vesicocentesis before delivery.
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