Post meningocele repair urinary ascites in a neonate—a rare presentation

Ranjan, Ritesh; Kothari, Paras; Gupta, Rahul; Gupta, Abhaya; Sandlas, Gursev; Karkera, Parag; Kesan, Krushna Kumar

doi:10.1016/j.jpedsurg.2012.01.074

Cited by 1 publication

(2 citation statements)

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“…In females without genitourinary malformations bladder rupture is the most likely cause of urinary ascites [ 1 ]. The diagnosis of urinary ascites is confirmed if creatinine is detected in the ascitic fluid [ 2 , 4 , 5 ] and if the ascitic fluid creatinine : plasma creatinine ratio is higher than 1.0 [ 4 , 5 ]. In our case the ascitic fluid creatinine : plasma creatinine ratio was 1.8 (plasma creatinine level: 1.2 mg/dl), which according to the literature confirms urinary ascites.…”

Section: Discussionmentioning

confidence: 99%

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Connatal Urinary Ascites in a Female Preterm

Brunner

Ralser

D'Costa

et al. 2017

Case Reports in Pediatrics

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Background Connatal urinary ascites is rare in females without associated malformations and occurs following bladder rupture. Case Presentation A female very preterm was delivered by caesarean section because of abnormal Doppler findings. The mother suffered from viral pneumonia requiring intensive care in the third trimester of pregnancy. Serial fetal ultrasound examinations showed a megacystis and ascites. Postnatally, pronounced isolated ascites was drained and its urinary nature was confirmed. The bladder leak was demonstrated when blue dye, instilled via a Foley catheter, appeared in the ascitic drain. After removal of the catheter spontaneous micturition was unremarkable. A micturating cystourethrogram showed spontaneous closure of the bladder leak. Conclusion The female infant experienced fetal bladder rupture and connatal urinary ascites due to maternal pneumonia and intensive care. The use of blue dye is an effective alternative method to any contrast media radiography and should be considered, especially in very preterm infants.

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Section: Discussionmentioning

confidence: 99%

“…Finally, ischemia of the urinary bladder wall is reported to be an associated factor in the pathogenesis of fetal and neonatal bladder rupture [ 3 – 5 ]. One might speculate that maternal respiratory failure leads to fetal hypoxia and thus to ischemia of the bladder wall.…”

Section: Discussionmentioning

confidence: 99%