Neonatal urinary ascites secondary to urinary bladder rupture

Abstract We describe the clinical presentation, radiology and clinical management of four neonates with spontaneous urinary bladder rupture and secondary urinary ascites seen in 1984 and two recent cases seen in 2007. All neonates had normal genitourinary systems on antenatal serial ultrasound scans...

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Bibliographic Details
Published in:Journal of pediatric urology 2009-04, Vol.5 (2), p.100-104
Main Authors: Vasdev, Nikhil, Coulthard, Malcolm G, De la hunt, Mike N, Starzyk, Bosena, Ognjanovic, Milos, Willetts, Ian E
Format: Article
Language:English
Subjects:
Ascites - diagnostic imaging
Ascites - surgery
Ascites - therapy
Bladder rupture
Humans
Infant, Newborn
Infant, Newborn, Diseases - diagnostic imaging
Infant, Newborn, Diseases - surgery
Infant, Newborn, Diseases - therapy
Male
Neonates
Pediatrics
Prognosis
Rupture, Spontaneous
Urinary ascites
Urinary Bladder Diseases - diagnostic imaging
Urinary Bladder Diseases - surgery
Urinary Bladder Diseases - therapy
Urinary Catheterization
Urine
Urography
Urology
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Summary:Abstract We describe the clinical presentation, radiology and clinical management of four neonates with spontaneous urinary bladder rupture and secondary urinary ascites seen in 1984 and two recent cases seen in 2007. All neonates had normal genitourinary systems on antenatal serial ultrasound scans. The management of these cases ranged from conservative management ( n = 3) to surgical repair of bladder ( n = 1). We present a review of the current literature covering management strategies and the possible role of ischemia in the pathogenesis of neonatal bladder rupture which continues to be a clinically challenging entity to diagnose and manage.
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2008.09.007