Atypical Presentation Of Posterior Urethral Valve With Urinary Ascites

Abstract

Urinary ascites in a neonate is a rare presentation. Neonatal bladder rupture leading to urinary ascites is extremely rare and very few cases have been reported in preterm neonates . The underlying etiology may be spontaneous or iatrogenic. The most common cause of bladder rupture in neonates is the umbilical catheterization, accounting for 75% cases. Obstructive uropathy like posterior urethral valve, abdominal trauma, neurogenic bladder, iatrogenic injuries during surgical procedure, birth trauma, difficult obstetric delivery, and forceful urethral catheterization may also lead to bladder perforation . Very rarely, it can occur due to ischemic injury caused by prolonged hypoxia, which may be precipitated by drugs like morphine administration, birth asphyxia, and poor perfusion. Management may be done conservatively with establishment of urinary drainage by catheterization or may require surgery