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  • Title: Is screening for renal anomalies warranted in neonates with isolated single umbilical artery?
    Author: de Boom ML, Kist-van Holthe JE, Sramek A, Lardenoye SW, Walther FJ, Lopriore E.
    Journal: Neonatology; 2010; 97(3):225-7. PubMed ID: 19887850.
    Abstract:
    AIM: To determine the prevalence of renal anomalies in patients with an isolated single umbilical artery (SUA). METHODS: We performed a retrospective study of all renal ultrasound examinations assessed at our centre between January 1998 and December 2008 in neonates with SUA with or without associated anomalies. RESULTS: Renal ultrasound examination was performed in 65 neonates with SUA (57 neonates with isolated SUA and 8 neonates with nonisolated SUA). The prevalence of renal anomalies in the group with and without isolated SUA was 2% (1/57) and 38% (3/8), respectively. Only one patient with isolated SUA had a mild renal abnormality without clinical consequences. CONCLUSIONS: The prevalence of renal anomalies in neonates with isolated SUA is low. We suggest that routine ultrasound screening for renal anomalies is not warranted in neonates with isolated SUA.
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