title: Antenatal intervention: jeopardizing life or limb?
abstract: The association of limb loss with antenatal urologic intervention has recently been questioned. At present, no such cases have been reported. We present a case of antenatal vesicoamniotic shunting for posterior urethral valves in which the shunt entered the right lower extremity and coursed subcutaneously over the femoral triangle and inguinal canal and into the bladder. Although the limb was intact, we present images and a discussion of the potential for extremity injury with antenatal urologic intervention.
authors.affiliation: Division of Pediatric Urology, Children's Mercy Hospital and University of Kansas School of Medicine, Kansas City, Missouri 66211, USA.
authors.forename: John M
authors.initials: JM
authors.lastname: Gatti
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Kirsch
authors.forename: Charlotte A
authors.initials: CA
authors.lastname: Massad
mesh_terms: D000328:Adult; D000650:Amnion / Q000601:surgery; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005332:Fetoscopy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D007431:Intraoperative Complications / Q000209:etiology*; D007869:Leg Injuries / Q000209:etiology*; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D016216:Ultrasonography, Prenatal; D014513:Ureter / Q000000981:diagnostic imaging / Q000601:surgery; D014521:Urethra / Q000196:embryology / Q000601:surgery*; D014524:Urethral Obstruction / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000601:surgery; D014547:Urinary Diversion; D014564:Urogenital Abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods