Document Detail


Transient urinary ascites after vesicocentesis observed in a fetus with megacystis caused by posterior urethral valve.
MedLine Citation:
PMID:  19349701     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Fetal urinary ascites is a condition that is rarely encountered. A review of previous reports suggests that the clinical course of the affected fetuses is highly variable. METHODS: In this report, we describe a case in which urinary ascites was observed after vesicocentesis in a fetus with megacystis caused by posterior urethral valve. RESULTS: The urinary ascites was transient, and the fetal outcome was good after a successful vesicoamniotic shunting operation. CONCLUSIONS: In utero bladder rupture or injury and the subsequent appearance of urinary ascites may be well tolerated by the fetus. Further, spontaneous resolution can be expected during fetal life; therefore, it appears to be preferable to opt for conservative management in fetuses with urinary ascites. Urinary ascites, particularly after vesicocentesis, should be observed with extreme caution.
Authors:
Nobuhiro Hidaka; Yoshihide Chiba
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-04-07
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  25     ISSN:  1421-9964     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:  2009  
Date Detail:
Created Date:  2009-08-26     Completed Date:  2009-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  192-5     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 S. Karger AG, Basel.
Affiliation:
Department of Perinatology, National Cardiovascular Center, Osaka, Japan. n-hidaka@kpa.biglobe.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Ascites / complications,  diagnosis*,  ultrasonography
Female
Fetal Diseases / diagnosis*,  etiology
Humans
Infant, Newborn
Male
Pregnancy
Urethra / abnormalities*,  surgery
Urinary Bladder Diseases / complications,  diagnosis*,  etiology

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