On August 21, Master - Doctor Phan Le Minh Tien (Department of Nephrology - Urology, Children's Hospital 2, Ho Chi Minh City) said that the abdominal ultrasound results showed that baby X. had a very large mass of water occupying the entire abdomen, with a diameter of up to 80 cm at the largest position. In addition, the ultrasound did not show the baby's right kidney, suspecting that the kidney was the giant mass of water.
Seeing no signs of activity in the right renal pelvis and ureter, the doctor finally concluded that baby X. had giant hydronephrosis with severe functional impairment, suspected to be due to congenital stenosis of the renal pelvis-ureter junction.
Master - Doctor Le Nguyen Yen (Deputy Head of Nephrology - Urology Department, Children's Hospital 2) said that as soon as the diagnosis was made, baby X. was scheduled for surgery to quickly relieve the blockage, hoping to save the remaining right kidney.
Pediatric surgeons
After nearly 2 hours of surgery, the surgical team diverted 1.5 liters of urine, reducing maximum pressure on the remaining fragile kidney tissue. Doctors removed the congenital narrowing between the kidney and the ureter. This was the cause of the long-standing obstruction, affecting kidney function.
After surgery, the patient gradually recovered, proving that X's kidney function had improved. The released fluid mass helped the child lose one kilogram of weight, flatten his stomach, and make it easier for him to eat and breathe.
According to family members, baby X. was diagnosed with hydronephrosis while still in the womb through a pregnancy ultrasound. Due to being subjective, the family did not regularly monitor the baby after birth. Only when the baby's symptoms became worse, such as fatigue, loss of appetite, and an increasingly large belly, did they take him to the hospital for examination.
Prenatal ultrasound helps detect fetal hydronephrosis
Specialist 2 Phan Tan Duc (Head of the Department of Nephrology - Urology, Children's Hospital 2) said that prenatal ultrasound helps detect many congenital malformations in the fetus, including hydronephrosis. However, when seeing children urinating normally, parents often ignore it. To avoid unpredictable consequences, parents need to pay attention to examining their children's kidneys. Accordingly, each person has two kidneys. If one kidney is sick, the remaining kidney must "shoulder" the function until it is overloaded. Therefore, we cannot wait for abnormalities to appear but need to take our children for examination immediately after birth.
Dr. Pham Ngoc Thach, Deputy Director of Children's Hospital 2, said that the hospital receives and treats more than 100 cases of the disease every year. Hydronephrosis puts pressure on the kidneys, affecting the kidneys' ability to filter and remove waste in the long term. This can impair kidney function and affect the child's normal development. This condition is especially serious due to congenital abnormalities such as narrowing of the junction of the kidney with the ureter. This is one of the common causes of hydronephrosis in children.
Early detection and resolution of obstruction is the only solution to preserve kidney function.
Source: https://thanhnien.vn/qua-than-be-trai-5-thang-chua-15-lit-nuoc-185240821163542958.htm
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