Question
A newborn was found to have bilateral renal pelvic separation at 30 weeks of embryonic development. Post-birth ultrasound examination showed that the right renal pelvic separation had disappeared, and the left renal pelvic separation was 0.24. Is there a possibility of congenital kidney disease?
Answer
Generally speaking, the absence of renal pelvic separation may be a congenital developmental anomaly, but it could also be a posterior change. It is advisable to continue observation and conduct multiple ultrasound examinations to monitor the situation. If the condition improves, further treatment may not be necessary. If the condition persists, further examination may be required to determine whether it is a congenital anomaly, which is typically formed during embryonic development. If a congenital anomaly is confirmed, surgical treatment may be required. Additionally, if the mother has a history of drug-induced abortion, stillbirth, or iron-deficiency anemia during pregnancy, these may have an impact on fetal development. The current priority is to stop bleeding, and if there is polyhydramnios, a dilation and curettage may be necessary to stop the bleeding.