Journal of the Korean Pediatric Society 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 Kim1, Su-Hee Kwak1, Sung-Kwang Jung2, Sang-Kwon 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
도뇨로 치유된 신생아 방광 파열성 요성 복수 1례
김행미1, 곽수희1, 정성광2, 이상권3
1경북대학교 의과대학 소아과학교실
2경북대학교 의과대학 비뇨기과학교실
3경북대학교 의과대학 방사선학교실
Correspondence: 
Heng-Mi 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.
Key Words: Neonatal urinary ascites, Bladder perforation, Urinary drainage


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