Fetal urinary ascites in a neonate without detectable obstructive uropathy or neurogenic bladder etiology.
Fetal urinary ascites is usually secondary to an obstructive uropathy or neurogenic bladder. We present such a case in the absence of these conditions, but the presence of ipsilateral vesicoureteral reflux with Hutch diverticula. The patient was a 5-day-old boy presenting with distension of the abdomen and impairment of renal function. Tests revealed urinary ascites and renal insufficiency which spontaneously resolved after transurethral urinary drainage was established. This rare complication should be considered in neonates with high intrapelviureteric and intrarenal pressure as a result of high-grade vesicoureteral reflux with paraureteral diverticula.
Alkan
Murat
M
Cukurova University, Faculty of Medicine, Department of Pediatric Surgery, Adana, Turkey. malkan@cu.edu.tr
Ozçelik
Zerrin
Z
Keskin
Erbug
E
Zorludemir
Unal
U
Olcay
Isik
I
D001201:Ascites / Q000151:congenital / Q000000981:diagnostic imaging* / Q000209:etiology*; D004240:Diverticulum / Q000150:complications / Q000151:congenital / Q000000981:diagnostic imaging; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D011859:Radiography; D014515:Ureteral Diseases / Q000150:complications / Q000151:congenital / Q000000981:diagnostic imaging; D014517:Ureteral Obstruction; D001750:Urinary Bladder, Neurogenic; D014554:Urination; D014556:Urine; D014718:Vesico-Ureteral Reflux / Q000150:complications* / Q000151:congenital / Q000000981:diagnostic imaging*