Case Reports in Nephrology / 2015 / Article / Tab 1

Case Report

Neonatal Urinary Ascites: A Report of Three Cases

Table 1

Summary of the various cases and the management.

Cases (patients)123

Gestational ages (weeks)333633

Birth weight (grams)180032402500

Apgar score at 1, 5, and 10 mins or asphyxiated with abnormal blood gas4, 71, 6, and 7Asphyxiated

Ventilator supportYesYesYes

InotropesYesNoYes

Deranged renal functionYesYesYes

Time of presentation of bladder rupture following birth At birthAt birth72 hrs

U/S, VCUGUrethral catheter seen piercing dome of bladderBilateral hydronephrosis, hydroureters, and thickened trabeculae bladder. PUV is confirmed on VCUGMCUG revealed extravasation of contrast into peritoneal cavity

Identifiable causesHypoxia, hypotension, and prematurityPUV, hypoxia, and prematurityHypoxia, hypotension, and prematurity

Management of the bladder ruptureAbdominal paracentesis.
Surgical repair of bladder wall tear
Conservative management. Abdominal paracentesis. Urethral catheter in situ for 10–14 days. Ablation of valveSurgical repair of bladder wall tear

Clinical outcomeSuccessfulSuccessful, on long term follow-upSuccessful

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