Unusual case of ascites secondary to unilateral distal ureteric obstruction in an infant

被引:0
作者
Chinnadurai, Amirtha Vahini [1 ]
Hong, Joyce Soo Synn [1 ]
Latif, Hasniah Abdul [1 ]
机构
[1] Univ Kebangsaan Malaysia, Dept Paediat, Med Ctr, Kuala Lumpur, Malaysia
关键词
urology; congenital disorders; paediatrics;
D O I
10.1136/bcr-2021-243949
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Congenital obstructive uropathy is a rare cause of ascites in infants. Majority of reported cases of genitourinary causes of ascites were due to posterior urethral valve. Here, we report a 6-month-old boy who presented with progressive tense ascites and peritonitis attributed by unilateral left distal ureteric obstruction and acute pyonephrosis. He underwent left nephrostomy placement, after which there was a remarkable improvement of ascites. He then underwent left ureteral diversion procedure a month later with a tentative plan for ureteral reanastomosis in 6 months. To date, there are no reports describing ascites secondary to distal ureteric obstruction beyond the neonatal period. The objective of this case report is to highlight unilateral urinary tract obstruction as a potential cause of transudative ascites. Additionally, the superimposed infection in the obstructed collecting system can lead to acute peritonitis likely due to translocation of bacteria into the peritoneal cavity.
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页数:4
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