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October 2022 -
Volume 20, Issue 10


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From the Editor

Editor
A. Abyad (Chief Editor)
Mobile: 961-3-201901
Email: amcmeli@gmail.com, aabyad@cyberia.net.lb

Publisher
Lesley Pocock
lesleypocock@mediworld.com.au
publishermwi@gmail.com
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Editorial
Abdulrazak Abyad

Letter to Editor

International Family Medicine Conference & Exhibition - IFM 2022
Dubai, UAE
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Original Contribution

Evaluation of physical performance and quality of life among patients with previous kidney transplantation: A Cross-sectional study
Shami, Mohammed Adel M, Abdulrahman Mohammed Ali, Saud Mohammed Saud Aleisa, Meshari Ghali Alnefaie
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525174

Investigating the awareness of breast cancer among female pharmacy students in the Makkah region, Saudi Arabia
Jumana Sako, Ghdi Almsaoudi, Rasha AL-Malki, Raghidah Alilyyani,
Rawan Almatrafi, Raghad Almatrafi, Nouf Alwafi, Shuruq Alamer,
Rehab Almehmadi, Reem Alotaibi, Safaa Alsanosi, Alaa Falemban,
Deena Bukhary, Yosra Al-Hindi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525175

Assessing Medical Student Basic Otolaryngology Knowledge:
A questionnaire-based Study
Yahya A. Fageeh, Mohammed A. Basurrah, Abdulaziz S. Aljuaid, Abdulmohsen H. Alghamdi, Rayan D. Alamri, Hamoud A. Alobaylan, Mujahid A. Alzahrani
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.952596

Outcome of Antenatal Renal Pelvic Dilatation - Review of Cases from a Tertiary Care Center, in the Armed Forces Hospital, Southern Region, Saudi Arabia
Khalil Mahmoud, Abdullah Mohammed, Basim Qusayri, Bayan Hanif, Mohamed Ayed, Ahmad M. Elabed, Ahmed Kandeel Elhaddad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525187

Regional Covid

COVID-19 Effect on Dietary Supplements' Consumption, Prophetic Medicine Practices and Herbs Use in Saudi Arabia
Elham Abbas Aljaaly, Reem Alhijri, Lujain Al Nasser
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.952597

Self-Reported Adverse Events of COVID-19 Vaccines on Menstrual Cycles
Afaf Farouq Alzahrani, Nada Abdulfattah Abdulaal
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525188

Willingness and attitudes of parents of children under the age of 12 about the COVID- 19 vaccine in Taif city
Ayman A. Atalla, Jamal Faydh, Saad Althuwaybi, Ethar Alharthi, Amani Alrumaym
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525161

Population and Community Studies

Type III Supracondylar humeral fracture in children treated by 3 lateral versus 2 cross K-wire fixation, Aden, Yemen
Abdulsalam Abdullah Hadi Mohsen, Nazih Ali Abdulrahman Omer, Mustafa Kamal Mustafa, Ahmed Mohamed Albushtra
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525164

Assessment of Premarital Screening for Prospective Couples in Aseer Region, Saudi Arabia, 2021
Ayman Mohammad Aboalam, Ali A. Al-Mousa, Saad Alamri, Ossama A. Mostafa
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525190

Review Articles

High sensitivity C-reactive protein and dyslipidemia as a marker for the risk for cardiovascular disease
Arun Pandeya, Naveen Kumar Shreevastva, Lal Chandra, Vishwajeet Rohil, Prahlad Karki, Madhab Lamsal
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525180

Role of Ipratropium bromide in management of Thunderstorm asthma
Numan Ahmad, Kaleem Murtaza Buttar
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525181

Subcutaneous Migration of Distal Ventriculoperitoneal Shunt Catheter in Morbidly Obese Patients: Two Case reports
Sara Aljohani, Khalid Mahrous, Ahmed AlJohani, Luma Qutub,
Layan Kutub, Raghad Alhajrasi, Hussam Kutub, Abdulrahman Mohammed AlAhmadi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525183

Case Reports

A diagnostic surprise of Hodgkin's Lymphoma in a 29-year-old long distance runner
Kaleem Murtaza Buttar, Numan Ahmad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525185

Middle age man with Gastroparesis
Babur Qayyum Khan
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525186

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Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
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Email: aabyad@cyberia.net.lb
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medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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October 2022 - Volume 20, Issue 10

Outcome of Antenatal Renal Pelvic Dilatation – Review of Cases from a Tertiary Care Center, in the Armed Forces Hospital, Southern Region, Saudi Arabia

Khalil Mahmoud (1) Abdullah Mohammed (2)Basim Qusayri (3) Bayan Hanif (4)
Mohamed Ayed (4)Ahmad M. Elabed (5) Ahmed Kandeel Elhaddad (6)

(1) NICU Consultant in KFMH Khamis Mushayt, Saudi Arabia
(2) ER Consultant in King Saud Medical City Riyadh, Saudi Arabia
(3) NICU Fellow, KFMH Khamis Mushayt, Saudi Arabia
(4) Pediatrics residents in AMCH, Abha, Saudi Arabia
(5) Registrar, Obstetrics & Gynecology in KFMH, Khamis Mushayt, Saudi Arabia
(6) Consultant Radiologist, AFHSR, Saudi Arabia.

Corresponding Author:
Dr. Basim Qusayri
Email: abujuana2019@gmail.com

Received: August 2022 Accepted: September 2022; Published: October 1, 2022. Citation: Khalil Mahmoud et al. Outcome of Antenatal Renal Pelvic Dilatation – Review of Cases from a Tertiary Care Center, in the Armed Forces Hospital, Southern Region, Saudi Arabia. World Family Medicine. 2022; 20(10): 28-36. DOI: 10.5742/MEWFM.2022.9525187

Abstract



Background: Renal pelvic dilatation (RPD) is the most common abnormality discovered on antenatal ultrasound. Unfortunately, little is known about antenatal hydronephrosis (ANH) and its associated etiology and outcomes. This study aimed to determine the incidence of antenatal RPD to evaluate antenatal resolution/progression and post-natal outcome. Also, this study aims to determine the outcome of patients diagnosed with ANH.

Methodology: The current study followed a retrospective design. Data were collected from the medical records of infants born between 2019 and 2021, with dilated fetal renal pelvis in Armed Forces Hospital, Southern Region, Saudi Arabia. According to the radiological report on the follow-up, the patients were categorized based on their pelvic anteroposterior diameter (APD) detected on the second-trimester ultrasound into: APDs of 5-9.9 mm, 10-14.9 mm, and above 15 mm were classified as mild dilatation, moderate hydronephrosis, and severe hydronephrosis, respectively.

Results: Among patients with RPD, 43.5% had mild dilatation while 33.3% had moderate hydronephrosis and 23.2% had severe hydronephrosis. There was no significant difference in incidence of RPD between mothers of different ages (P=0.302). Moreover, 69.6% of the patients were male with male: female ratio of 2.3:1. Among patients with RPD, 47 infants had good outcomes (68.1%), while 22 patients had poor outcomes. There was a significant difference in outcomes of patients with RPD according to their severity, where mild dilatation had the highest percentage of good outcomes as 86.7% of children with mild dilatation had good outcomes compared with 47.8% of infants with moderate hydronephrosis and 62.5% of those with severe hydronephrosis (P=0.009).

Conclusion: Male infants have higher risk for developing RPD, although gender is not a predictor for severity or outcomes. Among patients with RPD, most patients have good outcomes.

Key Words: Renal pelvic dilatation, antenatal hydronephrosis, infancy, ultrasonography,
outcome, retrospective research design.







 


 
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