Case Report: Neonatal Urinary Ascites Without Hydronephrosis: A Rare Case of Anterior Urethral Valve and Diverticulum in Preterm Newborn

The deformation of congenital obstruction of the anterior urethra is rare in male infants. The anterior urethral valve (AUV) and diverticulum are not common causes of distal urethral obstruction, which may be significant but difficult to diagnose in time. We describe a premature infant who was diagn...

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Main Authors: Yue He, Sam Bill Lin, WenXuan Li, YuBo Sun, LiangFeng Tang, Rong Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.920817/full
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author Yue He
Sam Bill Lin
WenXuan Li
YuBo Sun
LiangFeng Tang
Rong Zhang
author_facet Yue He
Sam Bill Lin
WenXuan Li
YuBo Sun
LiangFeng Tang
Rong Zhang
author_sort Yue He
collection DOAJ
description The deformation of congenital obstruction of the anterior urethra is rare in male infants. The anterior urethral valve (AUV) and diverticulum are not common causes of distal urethral obstruction, which may be significant but difficult to diagnose in time. We describe a premature infant who was diagnosed with AUV as part of a diverticulum in the anterior urethra and was presented as massive urinary ascites without hydroureters and hydronephrosis. After indwelling abdominal tube and urinary catheterization, the infant’s massive ascites were resolved, while urethral obstruction had successful treatment by Holmium laser. We suggest that the presence of urinary ascites in fetuses and neonates should be considered as a warning against urinary malformations.
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spelling doaj.art-168f378d9ace44b1b76e809dd38fe8cf2022-12-22T00:32:26ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-06-011010.3389/fped.2022.920817920817Case Report: Neonatal Urinary Ascites Without Hydronephrosis: A Rare Case of Anterior Urethral Valve and Diverticulum in Preterm NewbornYue He0Sam Bill Lin1WenXuan Li2YuBo Sun3LiangFeng Tang4Rong Zhang5Department of Neonatology, Children’s Hospital of Fudan University, Shanghai, ChinaDepartment of Neonatology, Children’s Hospital of Fudan University, Shanghai, ChinaDepartment of Neonatology, Children’s Hospital of Fudan University, Shanghai, ChinaDepartment of Urology, Children’s Hospital of Fudan University, Shanghai, ChinaDepartment of Urology, Children’s Hospital of Fudan University, Shanghai, ChinaDepartment of Neonatology, Children’s Hospital of Fudan University, Shanghai, ChinaThe deformation of congenital obstruction of the anterior urethra is rare in male infants. The anterior urethral valve (AUV) and diverticulum are not common causes of distal urethral obstruction, which may be significant but difficult to diagnose in time. We describe a premature infant who was diagnosed with AUV as part of a diverticulum in the anterior urethra and was presented as massive urinary ascites without hydroureters and hydronephrosis. After indwelling abdominal tube and urinary catheterization, the infant’s massive ascites were resolved, while urethral obstruction had successful treatment by Holmium laser. We suggest that the presence of urinary ascites in fetuses and neonates should be considered as a warning against urinary malformations.https://www.frontiersin.org/articles/10.3389/fped.2022.920817/fullanterior urethral valveanterior urethral diverticulumneonateurinary ascitescase report
spellingShingle Yue He
Sam Bill Lin
WenXuan Li
YuBo Sun
LiangFeng Tang
Rong Zhang
Case Report: Neonatal Urinary Ascites Without Hydronephrosis: A Rare Case of Anterior Urethral Valve and Diverticulum in Preterm Newborn
Frontiers in Pediatrics
anterior urethral valve
anterior urethral diverticulum
neonate
urinary ascites
case report
title Case Report: Neonatal Urinary Ascites Without Hydronephrosis: A Rare Case of Anterior Urethral Valve and Diverticulum in Preterm Newborn
title_full Case Report: Neonatal Urinary Ascites Without Hydronephrosis: A Rare Case of Anterior Urethral Valve and Diverticulum in Preterm Newborn
title_fullStr Case Report: Neonatal Urinary Ascites Without Hydronephrosis: A Rare Case of Anterior Urethral Valve and Diverticulum in Preterm Newborn
title_full_unstemmed Case Report: Neonatal Urinary Ascites Without Hydronephrosis: A Rare Case of Anterior Urethral Valve and Diverticulum in Preterm Newborn
title_short Case Report: Neonatal Urinary Ascites Without Hydronephrosis: A Rare Case of Anterior Urethral Valve and Diverticulum in Preterm Newborn
title_sort case report neonatal urinary ascites without hydronephrosis a rare case of anterior urethral valve and diverticulum in preterm newborn
topic anterior urethral valve
anterior urethral diverticulum
neonate
urinary ascites
case report
url https://www.frontiersin.org/articles/10.3389/fped.2022.920817/full
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