Ascites in the Newborn Associated with Hepatitis

Deckelbaum, Richard J.; Weizman, Zvi; Bauer, Charles R.

doi:10.1177/000992288001900513

Cited by 5 publications

(1 citation statement)

References 14 publications

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“…Es ergeben sich deshalb beim Auftreten eines nicht-immunologischen Aszites ohne generalisierte Ödeme -nur von diesem soll im folgenden die Rede sein -beim Feten oder Neugeborenen diagnostische und therapeutische Probleme, die anhand der vorliegenden Literatur und unter Berücksichtigung der bei uns beobachteten Patienten dargestellt werden sollen. (13). Im allgemeinen kommt es zu einem raschen Konzentrationsausgleich zwischen Aszitesflüssigkeit und extrazellulärer Flüssigkeit, so daß eine chemische Analyse selten nützlich ist (22,30).…”

Section: Introductionunclassified

Fetaler und neonataler Aszites: Bericht über 15 Fälle und Literaturübersicht

Leonhardt¹,

Schmidt²,

Wille³

1987

Klin Padiatr

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Fifteen patients with non-immune fetal or neonatal ascites and absence of generalized edema are described. Nine patients were diagnosed prenatally. Nine patients were preterm. Artificial ventilation was necessary in twelve infants immediately after birth. In five cases, including two cases of transitory ascites, the etiology could not be established. In accordance with previous reports, we found the following underlying disorders in our patients: urinary tract obstruction, polycystic disease of the kidneys, chylous ascites, sepsis, intrahepatic atresia of the biliary ducts, hepatic and renal failure following severe asphyxia. 8 out of 15 patients died. A survey of the literature shows a variety of underlying disorders. Therefore, several diagnostic tests are necessary, in order to identify the etiology. Causative treatment is possible in some cases of urogenital , gastrointestinal, infectious and chylous ascites. Sophisticated perinatal management is essential for the outcome of patients with fetal or neonatal ascites; nevertheless the mortality rate is still about 50%.

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Section: Introductionunclassified