Bladder distention as a cause of inferior vena caval obstruction in the newborn: demonstration with ultrasonography.
We report an unusual case of inferior vena caval (IVC) obstruction secondary to a tensely distended urinary bladder in an asphyxiated newborn. The use of portable real-time ultrasonography gave a reliable diagnosis of the correct etiology and ruled out more ominous possibilities, such as IVC thrombosis. This case presentation provides an interesting addition to the differential diagnosis of IVC obstruction, and once again emphasizes the valuable role of bedside ultrasonography in the neonatal intensive care unit.
Gallaher
K J
KJ
Department of Pediatrics, Milton S Hershey Medical Center, Pennsylvania State University, Hershey 17033.
Gross
G
G
D001238:Asphyxia Neonatorum / Q000150:complications; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D014463:Ultrasonography; D001743:Urinary Bladder / Q000473:pathology*; D001745:Urinary Bladder Diseases / Q000150:complications* / Q000209:etiology; D014555:Urination Disorders / Q000150:complications* / Q000209:etiology; D014652:Vascular Diseases / Q000209:etiology*; D014682:Vena Cava, Inferior / Q000503:physiopathology*