Neonatal Urinary Ascites: A Report of Three Cases

Table 1

Summary of the various cases and the management.

Cases (patients)	1	2	3
Gestational ages (weeks)	33	36	33
Birth weight (grams)	1800	3240	2500
Apgar score at 1, 5, and 10 mins or asphyxiated with abnormal blood gas	4, 7	1, 6, and 7	Asphyxiated
Ventilator support	Yes	Yes	Yes
Inotropes	Yes	No	Yes
Deranged renal function	Yes	Yes	Yes
Time of presentation of bladder rupture following birth	At birth	At birth	72 hrs
U/S, VCUG	Urethral catheter seen piercing dome of bladder	Bilateral hydronephrosis, hydroureters, and thickened trabeculae bladder. PUV is confirmed on VCUG	MCUG revealed extravasation of contrast into peritoneal cavity
Identifiable causes	Hypoxia, hypotension, and prematurity	PUV, hypoxia, and prematurity	Hypoxia, hypotension, and prematurity
Management of the bladder rupture	Abdominal paracentesis.; Surgical repair of bladder wall tear	Conservative management. Abdominal paracentesis. Urethral catheter in situ for 10–14 days. Ablation of valve	Surgical repair of bladder wall tear
Clinical outcome	Successful	Successful, on long term follow-up	Successful