Ultrasound Features:
- 32+ weeks of almost same-sized dichorionic diamniotic twin live pregnancy
- One fetal left kidney shows left renal enlargement with grossly dilated renal pelvicalyceal system, thinning of cortex & no ureteric dilatation indicating PUJ obstruction. Antero-posterior renal pelvis diameter (APRPD) is 40 mm which indicates UTD type 2-3, high risk variety.
Ultrasound Diagnosis:
Twin pregnancy with one fetal left sided urinary tract dilatation (UTD), Type 2-3: High risk, possibly due to PUJ obstruction
Ultrasound Images:
Two fetuses
Grossly dilated left renal pelvicalyceal system, AP RPD: 4 cm
Enlarged left kidney with grossly dilated pelvicalyceal system
Enlarged left kidney with grossly dilated pelvicalyceal system
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