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  • Perinatal/Neonatal Case Presentation
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Perinatal/Neonatal Case Presentation

Ruptured remnant of urachal diverticulum: an unusual cause of congenital urinary ascites

Journal of Perinatology volume 32, pages 978–980 (2012)Cite this article

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Abstract

Urachal diverticulum is an infrequent finding and its perforation as a cause of fetal urinary ascites has not been reported before. This is a case report on an infant with antenatal diagnosis of fetal ascites. This infant was delivered via cesarean section and needed mechanical ventilation owing to a massive ascites that required paracentesis. She did not void for 20 h until a urethral catheter was placed. The biochemical analysis of the ascitic fluid compared with the serum and urine was suggestive of urine ascites. The voiding cystourethrogram (VCUG) showed a leakage at the remnant of urachal diverticulum. The urethral catheter was maintained for 3 weeks until the repeated VCUG confirmed a sealed-off urachal diverticulum. With removal of the catheter, the infant was able to void spontaneously and was discharged home on continued prophylactic antibiotics. As symptomatic urachal remnants have an increased potential for malignant transformation, a close follow-up by a urologist was recommended.

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References

  1. Chou YY, Huang HC, Liu HC, Chung MY, Huang CB . Isolated fetal and neonatal ascites: report of two cases. Acta Paediatr Taiwan 2001; 42 (3): 166–168.

    CAS  PubMed  Google Scholar 

  2. Morrell P, Coulthard MG, Hey EN . Neonatal urinary ascites. Arch Dis Child 1985; 60 (7): 676–678.

    Article  CAS  Google Scholar 

  3. Vasdev N, Coulthard MG, De la hunt MN, Starzyk B, Ognjanovic M, Willetts IE . Neonatal urinary ascites secondary to urinary bladder rupture. J Pediatr Urol 2009; 5 (2): 100–104.

    Article  Google Scholar 

  4. Scabini S, Rimini E, Romairone E, Scordamaglia R, Vallarino L, Giasotto V et al. Urachal tumour: case report of a poorly understood carcinoma. World J Surg Oncol 2009; 7: 82.

    Article  Google Scholar 

  5. Robert Y, Hennequin-Delerue C, Chaillet D, Dubrulle F, Biserte J, Lemaitre L . Urachal remnants: sonographic assessment. J Clin Ultrasound 1996; 24 (7): 339–344.

    Article  CAS  Google Scholar 

  6. Kysucan J, Maly T, Neoral C . [Rare umbilical anomalies]. Rozhl Chir 2010; 89 (12): 764–769.

    CAS  PubMed  Google Scholar 

  7. Yohannes P, Bruno T, Pathan M, Baltaro R . Laparoscopic radical excision of urachal sinus. J Endourol 2003; 17 (7): 475–479 (discussion 9).

    Article  Google Scholar 

  8. Lamb BW, Vaidyanathan R, Laniado M, Karim O, Motiwala H . Mucinous adenocarcinoma of the urachal remnant with pseudomyxoma peritonei. Urol J 2010; 7 (2): 138–139.

    PubMed  Google Scholar 

  9. Ueno T, Hashimoto H, Yokoyama H, Ito M, Kouda K, Kanamaru H . Urachal anomalies: ultrasonography and management. J Pediatr Surg 2003; 38 (8): 1203–1207.

    Article  CAS  Google Scholar 

  10. Hinman F, Baumann FW . Vesical and ureteral damage from voiding dysfunction in boys without neurologic or obstructive disease. J Urol 1973; 109 (4): 727–732.

    Article  CAS  Google Scholar 

  11. Jayanthi VR, Khoury AE, McLorie GA, Agarwal SK . The nonneurogenic neurogenic bladder of early infancy. J Urol 1997; 158 (3 Pt 2): 1281–1285.

    Article  CAS  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Pediatrics, Division of Neonatology, Memphis, TN, USA

    S K Chilakala & M Pourcyrous

  2. Department of Radiology, University of Tennessee Health Science Center, Memphis, TN, USA

    T F Boulden

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  1. S K Chilakala
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  2. T F Boulden
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  3. M Pourcyrous
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Correspondence to M Pourcyrous.

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Chilakala, S., Boulden, T. & Pourcyrous, M. Ruptured remnant of urachal diverticulum: an unusual cause of congenital urinary ascites. J Perinatol 32, 978–980 (2012). https://doi.org/10.1038/jp.2012.30

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  • DOI: https://doi.org/10.1038/jp.2012.30

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