title: Massive urinary ascites after removal of a supra-pubic catheter: case report and review of the literature.
abstract: Urinary ascites is a rare diagnosis usually associated with intra-peritoneal bladder perforation. We present a case of massive urinary ascites in a patient who presented 1 week after a total abdominal hysterectomy and sacrocolpopexy. We discuss how the diagnosis was made, the mechanism of biochemical changes associated with urinary ascites and the management. In summary, we show that a combination of serum and ascitic biochemistry are essential to make a diagnosis of urinary ascites.
authors.affiliation: MRC Cancer Cell Unit, Hutchison/MRC Research Centre, Hills Road, Cambridge, CB2 2XZ, UK. vw232@cam.ac.uk
authors.forename: Victoria
authors.initials: V
authors.lastname: White
authors.forename: Richard H
authors.initials: RH
authors.lastname: Hardwick
authors.forename: Jonathan R E
authors.initials: JR
authors.lastname: Rees
authors.forename: Mark
authors.initials: M
authors.lastname: Slack
mesh_terms: D001201:Ascites / Q000209:etiology / Q000652:urine*; D005260:Female; D006801:Humans; D008875:Middle Aged; D001743:Urinary Bladder / Q000293:injuries*; D014546:Urinary Catheterization / Q000009:adverse effects*