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Neonatal urinary ascites complicated by ileal perforation in a recipient of twin-to-twin transfusion syndrome

  • Urology - Case Report
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Abstract

We present a case of iatrogenic neonatal urinary ascites following antenatal amnioreduction in one of the monochorionic diamniotic recipient twin 2 of twin-to-twin transfusion syndrome (TTTS). He had ileal perforation following postnatal abdominal paracentesis. The patient had an uneventful recovery following exploratory laparotomy, resection of perforated segment of ileum with end-to-end anastomosis and open vesicostomy with subsequent closure of the vesicostomy.

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References

  1. Kay R, Brereton RJ, Johnston JH (1980) Urinary ascites in the newborn. Br J Urol 52:451–454

    Article  PubMed  CAS  Google Scholar 

  2. Murphy D, Simmons M, Guiney EJ (1978) Neonatal urinary ascites in the absence of urinary tract obstruction. J Pediatr Surg 13:529–531

    Article  PubMed  CAS  Google Scholar 

  3. Morrell P, Coulthard MG, Hey EN (1985) Neonatal urinary ascites. Arch Dis Child 60:676–678

    Article  PubMed  CAS  Google Scholar 

  4. Oei J, Garvey PA, Rosenberg AR (2001) The diagnosis and management of neonatal urinary ascites. J Paediatr Child Health 37:513–515

    Article  PubMed  CAS  Google Scholar 

  5. Cortés-Osorio B, Concheiro-Guisán A, Fernández-Eire P et al (2012) Neonatal ascites and oligohydramnios: the role of kidney. J Matern Fetal Neonatal Med 25:1825–1826 Epub 2012 Mar 12

    Article  PubMed  Google Scholar 

  6. Greenfield SP, Hensle TW, Berdon WE et al (1982) Urinary extravasation in the newborn male with posterior urethral valves. J Pediatr Surg 17:751–756

    Article  PubMed  CAS  Google Scholar 

  7. Printza N, Ververi A, Bandouraki M et al (2012) Life-threatening hyponatremia and acute renal failure due to iatrogenic neonatal bladder rupture. Urol Int 88:238–240 Epub 2011 Sep 22

    Article  PubMed  Google Scholar 

  8. O’Brien WJ, Ryckman FC (1994) Catheter-induced urinary bladder rupture presenting with pneumoperitoneum. J Pediatr Surg 29:1397–1398

    Article  PubMed  Google Scholar 

  9. Okawa T, Soeda S, Watanabe T et al (2008) Repeated paracentesis in a fetus with meconium peritonitis with massive ascites: a case report. Fetal Diagn Ther 24:99–102 Epub 2008 Jul 17

    Article  PubMed  CAS  Google Scholar 

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Conflict of interest

The authors declare that we have no conflict of interest.

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Authors and Affiliations

  1. Department of Paediatric Urology, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK

    Ramnik Patel, Jodie Frost & G. K. Ninan

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  1. Ramnik Patel
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  2. Jodie Frost
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  3. G. K. Ninan
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Correspondence to G. K. Ninan.

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Patel, R., Frost, J. & Ninan, G.K. Neonatal urinary ascites complicated by ileal perforation in a recipient of twin-to-twin transfusion syndrome. Int Urol Nephrol 45, 17–20 (2013). https://doi.org/10.1007/s11255-012-0356-0

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  • DOI: https://doi.org/10.1007/s11255-012-0356-0

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