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

Nobuhiro Hidaka, Yoshihide Chiba

Research output: Contribution to journalArticle

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 1 2009

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Ascites
Fetus
Megaduodenum
Rupture
Urinary Bladder
Wounds and Injuries

All Science Journal Classification (ASJC) codes

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

Cite this

Transient urinary ascites after vesicocentesis observed in a fetus with megacystis caused by posterior urethral valve. / Hidaka, Nobuhiro; Chiba, Yoshihide.

In: Fetal Diagnosis and Therapy, Vol. 25, No. 2, 01.08.2009, p. 192-195.

Research output: Contribution to journalArticle

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