Abdominal wall hernia: an uncommon complication of in utero vesicoamniotic shunt placement

Three cases are reported in which placement of a vesicoamniotic shunt in utero for the treatment of obstructive uropathy led to the rare complication of abdominal wall hernia. All 3 patients underwent vesicoamniotic shunt placement for severe oligohydramnios and a markedly dilated bladder in an effo...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2000-08, Vol.56 (2), p.330-330
Main Authors: Gehring, Jennifer E, Cain, Mark P, Casale, Anthony J, Kaefer, Martin, Rink, Richard C
Format: Article
Language:English
Subjects:
Amnion - surgery
Fetal Diseases - surgery
Fetoscopy - adverse effects
Hernia, Ventral - etiology
Humans
Male
Oligohydramnios - surgery
Postoperative Complications - etiology
Respiratory System Abnormalities - prevention & control
Urinary Bladder - surgery
Urinary Bladder Diseases - surgery
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Summary:Three cases are reported in which placement of a vesicoamniotic shunt in utero for the treatment of obstructive uropathy led to the rare complication of abdominal wall hernia. All 3 patients underwent vesicoamniotic shunt placement for severe oligohydramnios and a markedly dilated bladder in an effort to preserve renal function and to prevent pulmonary hypoplasia. All three shunts were initially placed at or above the umbilicus. The abdominal wall hernias were closed postnatally at the time of temporary vesicostomy for urethral obstruction. All 3 patients had sufficient pulmonary development, but 2 of 3 had renal failure, requiring dialysis. Management and potential etiology of this rare complication are discussed.
ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(00)00581-1