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The Newborn with Oligoanuria

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Pediatric Uroradiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

The neonatal period, defined as the first 4 weeks of life, is probably the most vulnerable period of life. The sudden change from intrauterine to postpartal life may lead to acute presentation of pre-existing renal diseases compensated by the mother prenatally. Birth may be complicated and lead to organ failure, or an acquired disease may start so early in life. The management of a baby with neonatal renal failure is a therapeutic challenge, and a well-equipped neonatal intensive care unit (NICU) is needed. This chapter describes the diagnostic and possibly therapeutic methods that can be offered by pediatric radiologists to these severely compromised neonates in an intensive care situation with sometimes limited potential for investigation.

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References

  • Akima S, Kent A, Reynolds GJ et al (2004) Indomethacin and renal impairment in neonates. Pediatr Nephrol 19:490–493

    Article  PubMed  Google Scholar 

  • Andreoli SP (2004) Acute renal failure in the newborn. Sem Perinatol 28:112–123

    Article  Google Scholar 

  • Avni FE, Bali MA, Regnault M et al (2002) MR urography in children. Eur J Radiol 43:154–166

    Article  PubMed  Google Scholar 

  • Beck M, Graf C, Ellenrieder B et al (2005) Long-term outcome of kidney function after twin-twin transfusion syndrome treated by intrauterine laser coagulation. Pediatr Nephrol 20:1657–1659

    Article  PubMed  CAS  Google Scholar 

  • Boubred F, Vendemmia M, Garcia-Meric P et al (2006) Effects of maternally administered drugs on the fetal and neonatal kidney. Drug Saf 29:397–419

    Article  PubMed  CAS  Google Scholar 

  • Brenner BM, Chertow GW (1994) Congenital oligonephronia and the etiology of adult hypertension and progressive renal disease. Am J Kidney Dis 23:171–175

    PubMed  CAS  Google Scholar 

  • Brion LP, Bernstein J, Spitzer A (1997) Diseases of the fetus and infant-kidney and urinary tract. In: Fanaroff AA, Martin RJ (eds) Neonatal-perinatal medicine. Mosby Year Book, St Louis, pp 1564–1636

    Google Scholar 

  • Broome DR, Girguis MS, Baron PW et al (2007) Gadodiamide-associated nephrogenic systemic fibrosis: why radiologists should be concerned. Am J Roentgenol 188:586–592

    Article  Google Scholar 

  • Brun P, Beaufils F, Pillion G et al (1993) Thrombose des veines rénales du nouveau-né: traitement et pronostic à long terme. Ann Pediatr (Paris) 40:75–80

    CAS  Google Scholar 

  • Bueva A, Guignard JP (1994) Renal function in preterm neonates. Pediatr Res 36:572–577

    PubMed  CAS  Google Scholar 

  • Carey WA, Talley LI, Sehring SA et al (2007) Outcomes of dialysis initiated during the neonatal period for treatment of end-stage renal disease: a North American Pediatric Renal Trials and Collaborative Studies special analysis. Pediatrics 119:e468–e473

    Article  PubMed  Google Scholar 

  • Cattarelli D, Spandrio M, Gasparoni et al (2006) A randomized, double blind, placebo controlled trial of the effect of theophylline in prevention of vasomotor nephropathy in very preterm neonates with respiratory distress syndrome. Arch Dis Child Fetal Neonatal Ed 91:F80–84

    Article  PubMed  CAS  Google Scholar 

  • Chevalier RL, Campbell F, Brenbridge AN (1984) Prognostic factors in neonatal acute renal failure. Pediatrics 74:265–272

    PubMed  CAS  Google Scholar 

  • Clark DA (1977) Time of first void and first stool in 500 newborns. Pediatrics 60:457–459

    PubMed  CAS  Google Scholar 

  • Darge K, Moeller RT, Trusen A et al (2005) Diagnosis of vesicoureteric reflux with low-dose contrast-enhanced harmonic ultrasound imaging. Pediatr Radiol 35:73–78

    Article  PubMed  Google Scholar 

  • Darge K, Troeger J, Duetting T et al (1999) Reflux in young patients: comparison of voiding US of the bladder and retrovesical space with echo enhancement versus voiding cystourethrography for diagnosis. Radiology 210:201–207

    PubMed  CAS  Google Scholar 

  • Drukker A, Giugnard JP (2002) Renal aspects of the term and preterm infant: a selective update. Curr Opin Pediatr 14:175–182

    Article  PubMed  Google Scholar 

  • Ellis D, Kaye RD, Bontempo FA (1997) Aortic and renal artery thrombosis in a neonate: recovery with thrombolytic therapy. Pediatr Nephrol 11:641–644

    Article  PubMed  CAS  Google Scholar 

  • Fischbach M (1996) Peritoneal dialysis prescription for neonates. Perit Dial Int 16[Suppl 1]:S512–S514

    PubMed  Google Scholar 

  • Galea P, Jain V, Fisk NM (2005) Insights into the pathophysiology of twin-twin transfusion syndrome. Prenat Diagn 25:777–785

    Article  PubMed  Google Scholar 

  • Garcia-Nieto V, Navarro JF, Sanchez-Almeida E et al (1997) Standards for ultrasound guidance of suprapubic bladder aspiration. Pediatr Nephrol 11:607–609

    Article  PubMed  CAS  Google Scholar 

  • Guignard JP, Gouyon JB, John EG (1991) Vasoactive factors in the immature kidney. Pediatr Nephrol 5:443–446

    Article  PubMed  CAS  Google Scholar 

  • Guignard JP, Drukker A (1999a) Why do newborn infants have elevated creatinine plasma levels? Pediatrics 103:49

    Article  Google Scholar 

  • Guignard JP, Drukker A (1999b) Clinical neonatal nephrology. In: Barratt TM, Avner ED, Harmon WE (eds) Pediatric nephrology. Lippincott Williams & Wilkins, Baltimore, pp 1051–1066

    Google Scholar 

  • Gordon I, Riccabona M (2003) Investigating the newborn kidney: update on imaging techniques. Sem Neonatol 8:269–278

    Article  Google Scholar 

  • Hentschel R, Lödige B, Bulla M ((1996) Renal insufficiency in the neonatal period. Clin Nephrol 46:54–58

    PubMed  CAS  Google Scholar 

  • Hibbert J, Howlett DC, Greenwood et al (1997) The ultrasound appearances of neonatal renal vein thrombosis. Br J Radiol 70:1191–1194

    PubMed  CAS  Google Scholar 

  • Howlett DC, Greenwood KL, Jarosz JM et al (1997) The incidence of transient medullary hyperechogenicity in neonatal ultrasound examination. Br J Radiol 70:140–143

    PubMed  CAS  Google Scholar 

  • Huber W, Eckel F, Henning M et al (2006) Prophylaxis of contrast material-induced nephropathy in patients in intensive care: acetylcysteine, theophylline, or both? A randomized study. Radiology 239:793–804

    Article  PubMed  Google Scholar 

  • Huet F, Semama D, Grimaldi M et al (1995) Effects of theophylline on renal insufficiency in neonates with respiratory distress syndrome. Intensive Care Med 21:511–514

    Article  PubMed  CAS  Google Scholar 

  • Kaplan BS, Restaino I, Raval DS et al (1994) Renal failure in the neonate associated with in utero exposure to nonsteroidal anti-inflammatory agents. Pediatr Nephrol 8:700–704

    Article  PubMed  CAS  Google Scholar 

  • Karlowicz MG, Adelman RD (1995) Nonoliguric and oliguric acute renal failure in asphyxiated term neonates. Pediatr Nephrol 9:718–722

    Article  PubMed  CAS  Google Scholar 

  • Kosch A, Kuwertz-Bröking E, Heller C et al (2004) Renal venous thrombosis in neonates: prothrombotic risk factors and long-term follow-up. Blood 104:1356–1360

    Article  PubMed  CAS  Google Scholar 

  • Kolonko A, Wiecek A, Kokot F (1998) The nonselective adenosine antagonist theophylline does prevent renal dysfunction induced by radiographic contrast agents. J Nephrol 11:151–156

    PubMed  CAS  Google Scholar 

  • Kupferman JC (1994) Acute renal failure in newborn infants: incidence, management and outcome. Clin Res 42:449A

    Google Scholar 

  • Luciano R, Gallini F, Romagnoli C et al (1998) Doppler evaluation of renal blood flow velocity as a predictive index of acute renal failure in perinatal asphyxia. Eur J Pediatr 157:656–660

    Article  PubMed  CAS  Google Scholar 

  • Messinger Y, Sheaffer JW, Mrozek J et al (2006) Renal outcome of neonatal renal venous thrombosis: review of 28 patients and effectiveness of fibrinolytics anad heparin in 10 patients. Pediatrics 118:e1478–e1484

    Article  PubMed  Google Scholar 

  • Murphy SW, Barrett BJ, Parfrey PS (2000) Contrast nephropathy. J Am Soc Nephrol 11:177–182

    PubMed  CAS  Google Scholar 

  • Nakamura M, Yokota K, Chen C et al (1999) Hyperechoic renal papillae as a physiological finding in neonates. Clin Radiol 54:233–236

    Article  PubMed  CAS  Google Scholar 

  • Nuss R, Hays T, Manco-Johnson M (1994) Efficacy and safety of heparin anticoagulation for neonatal renal vein thrombosis. Am J Pediatr Hematol Oncol 16:127–131

    PubMed  CAS  Google Scholar 

  • Pohl M, Zimmerhackl LB, Heinen F et al (1998) Bilateral renal vein thrombosis and venous sinus thrombosis in a neonate with factor V mutation (FV Leiden). J Pediatr 132:159–161

    Article  PubMed  CAS  Google Scholar 

  • Prevot A, Martini S, Guignard JP (2002) In utero exposure to immunosuppressive drugs. Biol Neonate 81:73–81

    Article  PubMed  CAS  Google Scholar 

  • Riccabona M, Ring E, Petritsch P (1993) Farbdopplersonographie in der Differentialdiagnose unilateraler kongenitaler zystischer Nierenmissbildungen. Z Geburtshilfe Perinatol 197:283–286

    PubMed  CAS  Google Scholar 

  • Riccabona M, Simbrunner J, Ring E et al (2002) Feasibility of MR urography in neonates and infants with anomalies of the upper urinary tract. Eur Radiol 12:1442–1450

    Article  PubMed  CAS  Google Scholar 

  • Riebel TW, Abraham K, Wartner R et al (1993) Transient medullary hyperechogenicity in ultrasound studies of neonates: is it a normal phenomenon and what are the causes? J Clin Ultrasound 21:25–31

    Article  PubMed  CAS  Google Scholar 

  • Rostand SG (2003) Oligonephronia, primary hypertension and renal disease: “is the child father to man?” Nephrol Dial Transplant 18:1434–1438

    Article  PubMed  Google Scholar 

  • Sadowski RH, Harmon WE, Jabs K (1994) Acute hemodialysis of infants weighing less than five kilograms. Kidney Int 45:903–906

    Article  PubMed  CAS  Google Scholar 

  • Scott JES, Hunter EW, Lee REJ et al (1990) Ultrasound measurement of renal size in newborn infants. Arch Dis Child 65:361–364

    Article  PubMed  CAS  Google Scholar 

  • Shotan A, Widerhorn J, Hurst A et al (1994) Risks of angiotensin-converting enzyme inhibition during pregnancy: experimental and clinical evidence, potential mechanisms, and recommendations for use. Am J Med 96:451–456

    Article  PubMed  CAS  Google Scholar 

  • Slovis TL, Bernstein J, Gruskin A (1993) Hyperechoic kidneys in the newborn and young infant. Pediatr Nephrol 7:294–302

    Article  PubMed  CAS  Google Scholar 

  • Stapleton FB, Jones DP, Green RS (1987) Acute renal failure in neonates: incidence, etiology and outcome. Pediatr Nephrol 1:314–320

    Article  PubMed  CAS  Google Scholar 

  • Starinsky R, Vardi O, Batasch D et al (1995) Increased renal medullary echogenicity in neonates. Pediatr Radiol 25[Suppl 1]:S43–S45

    PubMed  Google Scholar 

  • Thomsen HS (2006) Nephrogenic systemic fibrosis: a serious late adverse reaction to gadodiamide. Eur Radiol 16:2619–2621

    Article  PubMed  Google Scholar 

  • Toth-Heyn P, Drukker A, Guignard JP (2000) The stressed neonatal kidney: from pathophysiology to clinical management of neonatal vasomotor nephropathy. Pediatr Nephrol 14:227–239

    Article  PubMed  CAS  Google Scholar 

  • Van Bel F, Guit GL, Schipper J et al (1991) Indomethacininduced changes in renal blood flow velocity waveform in premature infants investigated with color Doppler imaging. J Pediatr 118:621–626

    Article  PubMed  Google Scholar 

  • van de Bor M (1995) Renal blood flow velocity in non-distressed preterm infants during the first 72 hours of life. Biol Neonate 67:346–351

    Article  PubMed  Google Scholar 

  • van der Heijden BJ, Carlus C, Narcy F et al (1994) Persistent anuria, neonatal death, and renal microcystic lesions after prenatal exposure to indomethacin. Am J Obstet Gynecol 171:617–623

    PubMed  Google Scholar 

  • Visser D, Monnens L, Feitz W et al (1998) Fungal bezoars as a cause of renal insufficiency in neonates and infants-recommended treatment strategy. Clin Nephrol 49:198–201

    PubMed  CAS  Google Scholar 

  • Visser MOJM, Leighton JO, van de Bor M et al (1992) Renal blood flow in neonates: qQuantification with color flow and pulsed Doppler US. Radiology 183:441–444

    PubMed  CAS  Google Scholar 

  • Wang PA, Huang FY (1994) Time of first defecation and urination in very low birth weight infants. Eur J Pediatr 153:279–283

    Article  PubMed  CAS  Google Scholar 

  • Winyard PJD, Bharucha T, De Bruyn R et al (2006) Perinatal renal venous thrombosis: presenting renal length predicts outcome. Arch Dis Child Fetal Neonatal Ed 91:F273–F278

    Article  PubMed  CAS  Google Scholar 

  • Wong JC, Rossleigh MA, Farnsworth RH (1995) Utility of technetium-99m-MAG3 diuretic renography in the neonatal period. J Nucl Med 36:2214–2219

    PubMed  CAS  Google Scholar 

  • Wright NB, Blanch G, Walkinshaw S et al (1996) Antenatal and neonatal renal vein thrombosis: new ultrasonic features with high frequency transducers. Pediatr Radiol 26:686–689

    Article  PubMed  CAS  Google Scholar 

  • Zaninovic AC, Westra SJ, Hall TR et al (1992) Congenital bladder rupture and urine ascites secondary to a sacrococcygeal teratoma. Pediatr Radiol 22:509–511

    Article  PubMed  CAS  Google Scholar 

  • Zobel G, Rödl S, Urlesberger B et al (1998) Continuous renal replacement therapy in critically ill neonates. Kidney Int 53[Suppl 66]:S169–S173

    Google Scholar 

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Authors and Affiliations

  1. Department of Pediatrics, Division of General Pediatrics, University Hospital Graz, Auenbruggerplatz 30, 8036, Graz, Austria

    Professor Ekkehard Ring MD

  2. Department of Radiology, Head Division of Pediatric Radiology, University Hospital Graz, Auenbruggerplatz 34, 8036, Graz, Austria

    Richard Fotter MD (Professor, Chairman)

Authors
  1. Professor Ekkehard Ring MD
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  2. Richard Fotter MD
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Editors and Affiliations

  1. Department of Radiology Head of Division of Pediatric Radiology, University Hospital Medical University Graz, Auenbruggerplatz 34, 8036, Graz, Austria

    Richard Fotter MD (Professor and Chairman) (Professor and Chairman)

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© 2008 Springer-Verlag Berlin Heidelberg

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Ring, E., Fotter, R. (2008). The Newborn with Oligoanuria. In: Fotter, R. (eds) Pediatric Uroradiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33005-9_23

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  • DOI: https://doi.org/10.1007/978-3-540-33005-9_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-33004-2

  • Online ISBN: 978-3-540-33005-9

  • eBook Packages: MedicineMedicine (R0)

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