出生前診断された多重奇形合併両側性多嚢腎の1例

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出生前超音波検査にて羊水過少症,心房中核欠損症,臍帯ヘルニア,両側多嚢腎を認めた。31週にて経腟分娩したが肺低形成のため死亡した。剖検では,顔面,心肺,腸管,尿路***にわたる多重奇形を認めたA case of bilateral multicystic dysplastic kidneys with multiple anomalies is reported. Prenatal ultrasonography showed oligohydramnios, atrial septal defect, bilateral multicystic kidneys, omphalocele, and bowel dilatation. A male baby died of respiratory insufficiency immediately after premature delivery. Autopsy showed multiple anomalies of face, fingers, lung, heart, bowels, and genitourinary tract. Seven more cases with urinary tract anomalies prenatally detected by ultrasonography are also reported. Ultrasonography is useful to diagnose anomalies of fetus.