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Case Reports in Pediatrics
Volume 2017, Article ID 6760218, 3 pages
https://doi.org/10.1155/2017/6760218
Case Report

Connatal Urinary Ascites in a Female Preterm

1Department of Paediatrics II, Medical University of Innsbruck, Innsbruck, Austria
2Department of Gynaecology and Obstetrics, Medical University of Innsbruck, Innsbruck, Austria
3Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria

Correspondence should be addressed to Barbara Brunner; ta.ca.dem-i@rennurb.arabrab

Received 7 August 2017; Accepted 11 September 2017; Published 11 October 2017

Academic Editor: Bernhard Resch

Copyright © 2017 Barbara Brunner et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Connatal urinary ascites is rare in females without associated malformations and occurs following bladder rupture. Case Presentation. A female very preterm was delivered by caesarean section because of abnormal Doppler findings. The mother suffered from viral pneumonia requiring intensive care in the third trimester of pregnancy. Serial fetal ultrasound examinations showed a megacystis and ascites. Postnatally, pronounced isolated ascites was drained and its urinary nature was confirmed. The bladder leak was demonstrated when blue dye, instilled via a Foley catheter, appeared in the ascitic drain. After removal of the catheter spontaneous micturition was unremarkable. A micturating cystourethrogram showed spontaneous closure of the bladder leak. Conclusion. The female infant experienced fetal bladder rupture and connatal urinary ascites due to maternal pneumonia and intensive care. The use of blue dye is an effective alternative method to any contrast media radiography and should be considered, especially in very preterm infants.