Premium
Neonatal Urinary Ascites Caused by Urinary Tract Obstruction: Two Case Reports
Author(s) -
Sakai Kiyohide,
Konda Ryuichiro,
Ota Shozo,
Takeda Atsushi,
Orikasa Seiichi
Publication year - 1998
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.1998.tb00372.x
Subject(s) - medicine , urinary system , ascites , urinary diversion , anuria , urinary tract obstruction , urology , percutaneous nephrostomy , surgery , vesicoureteral reflux , hydronephrosis , urethra , abdominal distension , reflux , percutaneous , cystectomy , bladder cancer , cancer , disease
Two cases of neonatal urinary ascites are reported, one (case 1) caused by posterior urethral valves associated with right vesicoureteral reflux, and the other (case 2) secondary to bilateral obstructed megaureter–a very rare cause. Abdominal distension, electrolyte imbalance, and an elevated BUN/ serum creatinine ratio were noted at the time of hospitalization in both cases. These laboratory values promptly returned to normal after the establishment of appropriate urinary drainage, accomplished through bladder catheterization in case 1 and bilateral percutaneous nephrostomy in case 2. In case 1, transurethral resection of the posterior urethral valves was followed by resumption of normal urination. In case 2, bilateral ureteroneocystostomy with ureteral tapering was performed successfully. These are only the fifth and sixth cases of neonatal urinary ascites reported in the Japanese literature.