Transient urinary ascites after vesicocentesis observed in a fetus with megacystis caused by posterior urethral valve

Nobuhiro Hidaka, Yoshihide Chiba

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)192-195
Number of pages4
JournalFetal Diagnosis and Therapy
Volume25
Issue number2
DOIs
Publication statusPublished - Aug 2009

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Embryology
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynaecology

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