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Document Type

Original Article

Abstract

Background: Fetal anomalies are detected in approximately 2% of all fetuses and, among these, genitourinary tract abnormalities account for 30% to 50% of all structural anomalies present at birth. Aim : to assess the role of 3D ultrasound in detection of fetal causes of oligohydramnios. Patients and Methods: The study was conducted on 60 pregnant females aged between (19 years and 39 years) mean ± SD 26.6 ± 4.9 presented with olighydraminos, at Al-Azhar University Hospital Assuit branch at Obstetric and gynecological and Radoidaignostic departments in the period from 1st December 2021 to 31th October 2022 . Results: Causes of olighydaminos; renal origin in 12 cases (20%), IUGR in 18 cases (30%), idiopathic cause in 12 cases (20%), Less than average amount of amniotic fluid in 12 cases (20%) and other causes in 6 cases (10%). There were renal abnormalities in 12 cases (20%). Amniotic fluid examination in studied cases were less than average in 12cases (20%), Oligohydramnios in 45 cases (75%) & Anhydramnios in 3 cases (5%). Antepartum death occurred in 2 cases (4%), fetus were born alive in 10cases (%), post-natal US examination was 10 cases (100%) had renal anomalies, no cases was normal. Conclusion: Ultrasound examination is important for the detection of renal and extra-renal causes of oligohydraminos. Prenatal diagnosis of associated congenital anomalies has agreat importance in care of handicapped newborn. 3D and 4D ultrasound continue to evolve as this technology becomes increasingly available in clinical practice for accurate and early detection of fetal anomalies

Keywords

Ultrasound; Fetal Anomalies; Amniotic Fluid; Oligohydraminos; Renal

Subject Area

Radiology & Radiodiagnosis

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