Massive urinary ascites after removal of a supra-pubic catheter: case report and review of the literature.
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.
White
Victoria
V
MRC Cancer Cell Unit, Hutchison/MRC Research Centre, Hills Road, Cambridge, CB2 2XZ, UK. vw232@cam.ac.uk
Hardwick
Richard H
RH
Rees
Jonathan R E
JR
Slack
Mark
M
D001201:Ascites / Q000209:etiology / Q000652:urine*; D005260:Female; D006801:Humans; D008875:Middle Aged; D001743:Urinary Bladder / Q000293:injuries*; D014546:Urinary Catheterization / Q000009:adverse effects*