TITLE:
Congenital Abnormalities of Kidneys and Urinary Tract in Children at the Dakar University Hospital
AUTHORS:
Kéita Younoussa, Thiongane Aliou, Sow Ndeye Fatou, Ndongo Aliou Abdoulaye, Abdoul Aziz Faye, Akpo L. Geraud, Sylla Assane
KEYWORDS:
Urinary Tract, Antenatal Diagnosis, Congenital Abnormalities, Children
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.3,
July
13,
2022
ABSTRACT: Congenital
abnormalities of the kidneys and urinary tract (CAKUT) represent
all the morphological abnormalities associated with a disorder of the embryonic
development of the kidneys and their excretory tract. Its prevalence is
underestimated in developing countries compared to developed countries. This
was a cross-sectional and descriptive study between January 1st, 2015
and February 28th, 2020, carried out in the pediatric department of Aristide Le Dantec Hospital.
The prevalence of CAKUT was 8.77% for all pediatric nephrologic pathologies (n =
58), the median age at diagnosis was 77.28 months and the sex ratio was 1.6.
The circumstances of the discovery of CAKUT were dominated by urinary tract infection (n = 21), the antenatal diagnosis was poor (n = 13) and confusion between cysts and
calyx dilation in antenatal was noted. Ultrasound was the main postnatal
imaging test requested. The most common renal abnormality was kidney cysts (n =
18) (cystic kidneys and multicystic dysplastic kidney) and the most common
urological abnormality was the posterior urethral valves (n = 8). Kidney
failure was a pejorative factor in the evolution of these CAKUT.