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Urinary ascites in the newborn

R Kay, R J Brereton, J H Johnson

British Journal of Urology

|December 1, 1980

Summary

This summary is machine-generated.

Neonatal urinary ascites from obstructive uropathy can lead to urinary tract perforation. This condition may be beneficial by decompressing the urinary system and protecting the kidneys.

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Area of Science:

Pediatric Urology
Neonatal Surgery
Nephrology

Background:

Neonatal urinary ascites is a rare condition.
Obstructive uropathy is a common cause of urinary ascites in neonates.
Urinary tract perforation can occur secondary to obstruction.

Purpose of the Study:

To report on cases of neonatal urinary ascites secondary to obstructive uropathy.
To describe the clinical presentation, treatment, and outcomes.
To evaluate the potential benefits of spontaneous urinary tract perforation.

Main Methods:

Retrospective case series of seven neonates with urinary ascites.
Review of medical records, including imaging and surgical reports.
Analysis of treatment strategies and patient outcomes.

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Main Results:

Seven cases of neonatal urinary ascites due to obstructive uropathy were identified.
Urinary tract perforations included bladder perforation (2), perirenal extravasation (4), and renal parenchymal perforation (3).
Six of seven infants survived with good health following temporary urinary diversion and surgical relief of obstruction.

Conclusions:

Spontaneous urinary tract perforation in neonatal obstructive uropathy may offer a protective decompression effect.
This decompression can reduce renal parenchymal damage and improve long-term outcomes.
Prompt diagnosis and management, including urinary diversion and obstruction relief, are crucial.