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Ultrasonographic study and Doppler flow velocimetry of maternal kidneys and liver in low-risk pregnancy.

Daher CH, Gomes AC, Kobayashi S, Cerri GG, Chammas MC - Radiol Bras (2015 May-Jun)

Bottom Line: The waveform pattern of the right hepatic vein presented changes persisting in the postpartum period in 31.8% of the patients.Cholelithiasis was observed in 18.1% of the patients.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: MD, Researcher at Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InRad/HC-FMUSP), São Paulo, SP, Brazil.

ABSTRACT

Objective: Longitudinal study with B-mode ultrasonography and Doppler ultrasonography of maternal kidneys and liver in low-risk pregnancy, to establish and quantify normality parameters, correlating them with physiological changes.

Materials and methods: Twenty-five pregnant women were assessed and selected to participate in the study, each of them undergoing four examinations at the first, second, third trimesters and postpartum.

Results: Findings during pregnancy were the following: increased renal volume, pyelocaliceal dilatation with incidence of 45.4% in the right kidney, and 9% in the left kidney; nephrolithiasis, 18.1% in the right kidney, 13.6% in the left kidney. With pyelocaliceal dilatation, mean values for resistivity index were: 0.68 for renal arteries; 0.66 for segmental arteries; 0.64 for interlobar arteries; 0.64 for arcuate arteries. Without pyelocaliceal dilatation, 0.67 for renal arteries; 0.64 for segmental arteries; 0.63 for interlobar arteries; and 0.61 for arcuate arteries. Portal vein flow velocities presented higher values in pregnancy, with mean value for maximum velocity of 28.9 cm/s, and 22.6 cm/s postpartum. The waveform pattern of the right hepatic vein presented changes persisting in the postpartum period in 31.8% of the patients. Cholelithiasis was observed in 18.1% of the patients.

Conclusion: Alterations in renal volume, pyelocaliceal dilatation, nephrolithiasis, cholelithiasis, changes in portal vein flow velocity, alterations in waveform pattern of the right hepatic vein, proved to be significant.

No MeSH data available.


Related in: MedlinePlus

Right hepatic vein with flat wave pattern.
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f07: Right hepatic vein with flat wave pattern.

Mentions: In the first trimester, the wave pattern was normal (Figure 5), with the only exception for one patient who presented with thedamped pattern (Figure 6). In the secondtrimester, 13 patients presented with normal pattern, and 9 patients presented withthe damped pattern, with a predominance of the normal pattern. In the thirdtrimester, 5 patients presented with the normal pattern, 13 patients with the dampedpattern, and 4 patients with the flat pattern (Figure7), with a predominance of the damped pattern (Figure 6).


Ultrasonographic study and Doppler flow velocimetry of maternal kidneys and liver in low-risk pregnancy.

Daher CH, Gomes AC, Kobayashi S, Cerri GG, Chammas MC - Radiol Bras (2015 May-Jun)

Right hepatic vein with flat wave pattern.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492564&req=5

f07: Right hepatic vein with flat wave pattern.
Mentions: In the first trimester, the wave pattern was normal (Figure 5), with the only exception for one patient who presented with thedamped pattern (Figure 6). In the secondtrimester, 13 patients presented with normal pattern, and 9 patients presented withthe damped pattern, with a predominance of the normal pattern. In the thirdtrimester, 5 patients presented with the normal pattern, 13 patients with the dampedpattern, and 4 patients with the flat pattern (Figure7), with a predominance of the damped pattern (Figure 6).

Bottom Line: The waveform pattern of the right hepatic vein presented changes persisting in the postpartum period in 31.8% of the patients.Cholelithiasis was observed in 18.1% of the patients.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: MD, Researcher at Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InRad/HC-FMUSP), São Paulo, SP, Brazil.

ABSTRACT

Objective: Longitudinal study with B-mode ultrasonography and Doppler ultrasonography of maternal kidneys and liver in low-risk pregnancy, to establish and quantify normality parameters, correlating them with physiological changes.

Materials and methods: Twenty-five pregnant women were assessed and selected to participate in the study, each of them undergoing four examinations at the first, second, third trimesters and postpartum.

Results: Findings during pregnancy were the following: increased renal volume, pyelocaliceal dilatation with incidence of 45.4% in the right kidney, and 9% in the left kidney; nephrolithiasis, 18.1% in the right kidney, 13.6% in the left kidney. With pyelocaliceal dilatation, mean values for resistivity index were: 0.68 for renal arteries; 0.66 for segmental arteries; 0.64 for interlobar arteries; 0.64 for arcuate arteries. Without pyelocaliceal dilatation, 0.67 for renal arteries; 0.64 for segmental arteries; 0.63 for interlobar arteries; and 0.61 for arcuate arteries. Portal vein flow velocities presented higher values in pregnancy, with mean value for maximum velocity of 28.9 cm/s, and 22.6 cm/s postpartum. The waveform pattern of the right hepatic vein presented changes persisting in the postpartum period in 31.8% of the patients. Cholelithiasis was observed in 18.1% of the patients.

Conclusion: Alterations in renal volume, pyelocaliceal dilatation, nephrolithiasis, cholelithiasis, changes in portal vein flow velocity, alterations in waveform pattern of the right hepatic vein, proved to be significant.

No MeSH data available.


Related in: MedlinePlus