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Case Reports in Urology
Volume 2016, Article ID 1425373, 3 pages
Case Report

Delayed Diagnosis of Iatrogenic Bladder Perforation in a Neonate

1College of Medicine, University of Central Florida, 6850 Lake Nona Blvd, Orlando, FL 32827, USA
2Neonatology, Winnie Palmer Hospital, 83 W. Miller St, Orlando, FL 32806, USA
3Pediatric Urology, Arnold Palmer Children’s Hospital, 92 W. Miller St, Orlando, FL 32806, USA

Received 10 July 2016; Accepted 8 September 2016

Academic Editor: Fumitaka Koga

Copyright © 2016 Antoinette S. Birs 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.


Iatrogenic bladder injuries have been reported in the neonate during umbilical artery/vein catheterization, voiding cystourethrogram, urinary catheterizations, and overwhelming hypoxic conditions. Patients with iatrogenic bladder perforations can present with acute abdomen indicating urinary peritonitis, septic-uremic shock, or subtle symptoms like abdominal distension, pain, hematuria, uremia, electrolyte imbalances, and/or difficulty urinating. The following neonatal case report of perforated bladder includes a review of the signs, symptoms, diagnostic tools, and management of bladder injury in neonates.