Journal of the Korean Pediatric Society 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 Kim1, Jae-Won Shim1, Yun-Shil Chang1, Soon-Ha Yang2, Kwan-Hyeun Park3, Dong-Kyu Jin1, Won-Soon 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
산전 방광 양막강 문합술(Vesicoamniotic shunt)과 출생 후 방광 조루술(Vesicostomy)을 실시한 극소 저출생 체중아의 후부 요도 판막증 1례
김성혜1, 심재원1, 장윤실1, 양순하2, 박관현3, 진동규1, 박원순1
1성균관대학교 의과대학 소아과학교실
2성균관대학교 의과대학 산부인과학교실
3성균관대학교 의과대학 비뇨기과학교실
Correspondence: 
Won-Soon 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.
Key Words: Posterior urethral valve, Vesicoamniotic shunt


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