Ultrasonographic findings in genitourinary tract malformations: a pictorial essay

• Main Authors: Martha Hanemann Kim, Yoshino Tamaki Sameshima, Miguel José Francisco Neto, Marcelo Buarque de Gusmão Funari
• Format: Article
• Language: English
• Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2009-12-01
• Series: Einstein (São Paulo)
• Subjects: Urinary tract/ultrasonography; Urinary tract/abnormalities; Urogenital system
• Online Access: http://apps.einstein.br/revista/arquivos/PDF/Einsteinv7n4p494-502.pdf

Objective: To demonstrate didactically the different ultrasound findings of various congenital malformations of the genitourinary system. Methods: Twelve cases were retrospectively studied, comprising patients who presented with genitourinary tract malformations (with or without related symptoms), detected by ultrasound testing carried out with Phillips ATL / HDI – 5000 ultrasound equipment, during the period of August 2007 to June 2009 at the Imaging Department of the Hospital Israelita Albert Einstein. Rresults: Six patients were females and six were males, and ages varied from a few hours of life to 15 years and 9 months. All individuals were evaluated and accompanied by the Pediatric Radiology sector of the Hospital Israelita Albert Einstein. The study was carried out as follows: two cases of hydrocolpos, one of them a result of imperforate hymen and one a case a congenital stenosis of the ureteropyelic junction, one case of ureterocele, one case of bilateral double collection system, one case of horseshoe kidney, one case of Hutch’s diverticulum, two cases of pelvic kidney, one of them with hydronephrosis, one case of multicystic dysplastic kidney, one case of polycystic kidney (adult form), and one case of congenital megaureter. Cconclusions: The ultrasonographic study is a valuable method for the early identification, often in the uterus, of these and several other treatable anomalies of the genitourinary tract. Additionally, it also presents the advantage of not using ionizing radiation, which is very significant, especially in the pediatric age group.