All issues > Volume 44(8); 2001

Case Report

J Korean Pediatr Soc. 2001;44(8):948-953. Published online August 15, 2001.

A Case of Neonatal Urinary Ascites due to Bladder Perforation Treated with Urinary Drainage

Heng-Mi HM Kim¹, Su-Hee SH Kwak¹, Sung-Kwang SK Jung², Sang-Kwon SK Lee³

¹Department of Pediatrics, College of Medicine, Kyungpook National University, Taegu, Korea
²Department of Urology, College of Medicine, Kyungpook National University, Taegu, Korea
³Department of Radiology, College of Medicine, Kyungpook National University, Taegu, Korea

Correspondence Heng-Mi HM Kim ,Email: hmkim@knu.ac.kr

Abstract

Urinary ascites in newborns is a rare event that usually is associated with posterior urethral valves and other obstructing anomalies of the genitourinary tract. A case of neonatal urinary ascites without genitourinary tract abnormalities is reported. This premature male neonate was treated by artificial ventilation due to respiratory distress syndrome. The umbilical artery catheter was placed without difficulties and functioned well until removal. Periumbilical leak of urine was not observed. He showed abdominal distension and oliguria on second postnatal day. He was found to have ascites, hyponatremia and elevation of BUN content disproportionate to the mild elevated serum creatinine value. Radiological examination revealed normal genitourinary tract except intraperitoneal extravasation of contrast material from the bladder. Conservative management resulted in complete resolution of the lesion in this patient.

Keywords :Neonatal urinary ascites, Bladder perforation, Urinary drainage