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Relapsing urinary ascites.

A Lachaux1, P Cochat, H Dodat

  • 1Service de Pédiatrie, Hôpital E.-Herriot, Lyon, France.

Child Nephrology and Urology
|January 1, 1990
PubMed
Summary
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A young boy

Area of Science:

  • Pediatric Urology
  • Abdominal Surgery
  • Medical Imaging

Background:

  • Ureteral duplication and bilateral vesicoureteric reflux are congenital urinary tract abnormalities.
  • Surgical correction is often performed in childhood.
  • Long-term follow-up is crucial for identifying potential complications.

Observation:

  • A 2-year-old boy underwent surgery for left ureteral duplication and bilateral vesicoureteric reflux.
  • Ten years post-surgery, he developed transient ascites after abdominal trauma.
  • Diagnostic imaging revealed a peritoneal fistula.

Findings:

  • A peritoneal fistula was identified as the cause of recurrent ascites.
  • Cystoscopy successfully localized the fistulous opening.

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  • Surgical intervention successfully closed the fistula.

    • Implications:

    • This case highlights a rare long-term complication of ureteral reimplantation surgery.
    • It underscores the importance of thorough investigation for ascites in patients with prior abdominal surgery.
    • Successful surgical management of ureteral-peritoneal fistula is demonstrated.