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Urinary bladder perforation in a premature infant with Down syndrome
Mahaboob Basha1, Muhammad Subhani, Ali Mersal
1Department of Pediatrics, King Faisal Specialist Hospital and Research Center, PO Box 40047 (J-58), Jeddah 21499, Saudi Arabia.
Pediatric Nephrology (Berlin, Germany)
|September 10, 2003
Summary
Urinary bladder perforation is a rare complication of catheterization in newborns. This case highlights the risk in premature infants with Down syndrome, emphasizing cautious catheterization due to hypotonia.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Medical Complications
Background:
- Urinary bladder perforation is a rare iatrogenic complication in neonates, occurring in various clinical settings.
- While reported secondary to different causes, it remains an uncommon event in neonatal intensive care.
Observation:
- A case of urinary bladder perforation occurred in a premature infant diagnosed with Down syndrome.
- The infant presented with progressive renal failure and mild-to-moderate ascites, with no other identifiable cause.
Findings:
- This case represents the first reported instance of urinary bladder perforation due to bladder catheterization in an infant with Down syndrome.
- The generalized hypotonia associated with Down syndrome may increase the risk of bladder perforation during catheterization.
Implications:
- Urinary bladder perforation should be considered in neonatal ascites and renal failure cases without clear etiology.
- Cautious bladder catheterization is recommended for infants with Down syndrome due to potential increased risk.