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Related Experiment Videos

In utero urinary bladder rupture: a case report.

D Bataille1, E Van Hoorde, M Cassart

  • 1Department of Perinatalogy, Erasme hospital, Brussels, Belgium.

Acta Chirurgica Belgica
|October 31, 2007
PubMed
Summary
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Foetal urinary bladder rupture due to posterior urethral valves is rare. This case highlights a potential additional mechanism involving a patent urachus, with spontaneous resolution of ascites.

Area of Science:

  • Fetal medicine
  • Pediatric urology
  • Medical imaging

Background:

  • Posterior urethral valves (PUV) are a common cause of bladder outlet obstruction in male neonates.
  • Congenital megacystis, an abnormally large bladder, can be associated with various urinary tract anomalies.
  • Fetal urinary bladder rupture is a rare but serious complication of bladder outlet obstruction.

Observation:

  • A male fetus diagnosed with megacystis during a second-trimester ultrasound.
  • Subsequent development of ascites and an undetectable bladder, suggesting rupture.
  • Absence of oligohydramnios and spontaneous resolution of ascites during follow-up.

Findings:

  • Confirmed fetal urinary bladder rupture secondary to posterior urethral valves.
  • The presence of a patent urachus as a potential contributing factor to bladder decompression.

Related Experiment Videos

  • Successful surgical resection of urethral valves with normal renal function post-intervention.

    • Implications:

    • Suggests a patent urachus may act as a decompression mechanism in fetal bladder rupture.
    • Highlights the importance of serial ultrasound monitoring in cases of fetal megacystis.
    • Underscores the need for further research into the long-term outcomes of this rare condition.