All issues > Volume 45(8); 2002

Case Report

J Korean Pediatr Soc. 2002;45(8):1038-1042. Published online August 15, 2002.

A Case of in-utero Vesicoamniotic Shunting and Postnatal Vesicostomy in Very Low Birth Weight Baby with Posterior Urethral Valve Syndrome

Sung-Hye SH Kim¹, Jae-Won JW Shim¹, Yun-Shil YS Chang¹, Soon-Ha SH Yang², Kwan-Hyeun KH Park³, Dong-Kyu DK Jin¹, Won-Soon WS Park¹

¹Department of Pediatrics, College of Medicine, University of Sungkyunkwan, Seoul, Korea
²Department of Obstetrics and Gynecology, College of Medicine, University of Sungkyunkwan, Seoul, Korea
³Department of Urology, College of Medicine, University of Sungkyunkwan, Seoul, Korea

Correspondence Won-Soon WS Park ,Email: wspark@smc.samsung.co.kr

Abstract

We present a case of in-utero vesicoamniotic shunting and postnatal vesicostomy in a very low birth weight baby with posterior urethral valve syndrome. He was diagnosed as posterior urethral valve at 24＋5 weeks' gestation. Because of severe hydronephrosis and oligohydroamnios, the shunt was established by basket-shaped catheter at 27＋0 weeks' gestation. After shunt, hydronephrosis improved. At 29＋4 weeks' gestation, the shunt catheter escaped from its position and severe urinary ascites and hydronephrosis developed. At 30 weeks' gestation, the baby was born and showed elevated BUN and creatinine. On the 10th day of birth, vesicostomy was done for urinary drainage. Thereafter, the baby has been followed up for 10 months and has had recurrent episodes of urinary infection. We report the case with a brief review of literature.

Keywords :Posterior urethral valve, Vesicoamniotic shunt