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Isolated fetal ascites secondary to persistent urogenital sinus.
MedLine Citation:
PMID:  19936120     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective. To present a case of isolated ascites secondary due to urogenital abnormalities (urogenital sinus) without any other prenatal ultrasound marker. Method. A 36-year-old woman with prenatal isolated ascites delivered a female baby, weighing 2.285 g; ascites was drained at birth and the baby underwent several episodes of urinary retention prior to undergoing X-ray investigations. Results. A voiding cystourethrogram revealed a short urogenital sinus: a vesicostomy was performed. A vaginoscopy revealed double vagina with a large posterior vagina. A posterior sagittal anorectal pull-through with genitoplasty was performed at 2 years old with 1-year follow-up. Conclusions. Though rare, a urogenital abnormality is to be suspected in fetal ascites cases with negative viral tests and no cardiac anomalies. The most common ultrasound marker of such abnormalities (fluid filled cavity) may be missing because of complete drainage of urine through the tubes into peritoneum.
Authors:
D Camanni; A Zaccara; M L Capitanucci; G Mosiello; I Capolupo; B D Iacobelli; M De Gennaro
Publication Detail:
Type:  Journal Article     Date:  2009-02-15
Journal Detail:
Title:  Obstetrics and gynecology international     Volume:  2009     ISSN:  1687-9597     ISO Abbreviation:  Obstet Gynecol Int     Publication Date:  2009  
Date Detail:
Created Date:  2009-11-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101517078     Medline TA:  Obstet Gynecol Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  219010     Citation Subset:  -    
Affiliation:
Urodynamics unit, Department of Nephrology and Urology, Bambino Gesù Children's Hospital, 00165 Rome, Italy.
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