[Neonatal ascites caused by obstructive urologic disease. Apropos of 2 cases].
We report two cases of neonatal ascites. The first case is a 24 day old male referred for abdominal distention and edema. Peritoneal tap removed a transudative fluid. Ultrasonographic evaluation revealed obstructive posterior urethral valves. Bladder drainage led to resolution of the urinary ascites and renal function normalization. Long term follow-up after endoscopic resection of valves was good. The second case is a male infant who presented at birth with abdominal distention. Radiology revealed an urinoma and a left side hydronephrosis secondary to ureteropyelic junction syndrome which underwent a successful surgical treatment. Urinary ascites is a rare entity which calls for immediate diagnosis and management to preserve renal function.
Fejji
S
S
Service de pédiatrie et d'explorations fonctionnelles digestives, hôpital d'enfants, Jebbabi, Tunisie.
Mongalgi
M A
MA
Boukthir
S
S
Belhadj
K
K
Debbabi
A
A
D001201:Ascites / Q000151:congenital* / Q000209:etiology / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D007682:Kidney Pelvis / Q000002:abnormalities; D008297:Male; D013577:Syndrome; D014513:Ureter / Q000002:abnormalities; D014524:Urethral Obstruction / Q000150:complications / Q000151:congenital* / Q000601:surgery; D014570:Urologic Diseases / Q000150:complications / Q000151:congenital* / Q000628:therapy
Ascite néonatale par uropathie obstructive. A propos de daux cas.