Major complication after intrauterine vesico-amniotic shunting.
Bilateral foetal uropathy is the leading cause of chronic renal failure in childhood. Vesico-amniotic shunting (VAS) is a simple, feasible, and widely used procedure for decompressing the foetal urinary system. We report a case of a boy with bilateral foetal uropathy who underwent VAS at a gestational age of 29 weeks. Vesico-abdominal shunt dislodgement occurred and led to urinary ascites and anhydramnios. Postpartal laparotomy showed a shunt perforation between the urinary bladder and the peritoneal cavity.
Springer
Alexander
A
Department of Pediatric Surgery, Medical University of Vienna, Austria. alexander.springer@meduniwien.ac.at
Fartacek
Renate
R
Reck
Carlos A
CA
Horcher
Ernst
E
Bettelheim
Dieter
D
D000650:Amnion / Q000601:surgery; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014463:Ultrasonography; D014524:Urethral Obstruction / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014546:Urinary Catheterization / Q000379:methods*