Discussion on screening for renal abnormalities in patients with pre-auricular appendage at risk for changes in organogenesis: case report
DOI:
https://doi.org/10.21270/archi.v10i9.5477Keywords:
Urogenital Abnormalities, Fused Kidney, Organogenesis, Ear AuricleAbstract
The incidence of congenital urinary tract abnormalities associated with sporadic congenital changes in the external ear is reported in the literature, especially when prenatal risk factors that modify embryogenesis and fetal organogenesis are present. The presence of renal malformations predisposes to increased morbidity and mortality related to calculus, recurrent urinary tract infections, sepsis and chronic kidney disease. However, screening for renal changes, in the presence of a pre-auricular appendage, is not a consensus in the literature, even when there are factors that increase the risk for its appearance. In this context, the use of abdominal ultrasound in neonates with pre-auricular appendage and who are at increased risk for congenital abnormalities, is highlighted in the early diagnosis of conditions that may, in the future, cause clinical repercussions. Thus, the authors sought to report the case of a newborn with renal malformation evidenced in an image exam, which was requested due to sporadic pre-auricular appendage evidenced in physical examination associated with diabetes mellitus, systemic arterial hypertension and maternal smoking.
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