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病例报告:无肾积水的新生儿尿腹水:一例罕见的早产儿前尿道瓣膜和憩室病例

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

作者信息

He Yue, Lin Sam Bill, Li WenXuan, Sun YuBo, Tang LiangFeng, Zhang Rong

机构信息

Department of Neonatology, Children's Hospital of Fudan University, Shanghai, China.

Department of Urology, Children's Hospital of Fudan University, Shanghai, China.

出版信息

Front Pediatr. 2022 Jun 30;10:920817. doi: 10.3389/fped.2022.920817. eCollection 2022.

Abstract

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.

摘要

先天性前尿道梗阻畸形在男婴中较为罕见。前尿道瓣膜(AUV)和憩室并非远端尿道梗阻的常见原因,其可能较为严重但难以及时诊断。我们描述了一名早产儿,被诊断为前尿道憩室合并AUV,表现为大量尿腹水,无输尿管积水和肾积水。留置腹腔引流管和导尿后,婴儿的大量腹水消退,同时尿道梗阻通过钬激光成功治疗。我们建议,胎儿和新生儿出现尿腹水应被视为泌尿系统畸形的警示信号。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d69/9280888/3fcb9e5e6f59/fped-10-920817-g001.jpg

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