Fejji S, Mongalgi M A, Boukthir S, Belhadj K, Debbabi A
Service de pédiatrie et d'explorations fonctionnelles digestives, hôpital d'enfants, Jebbabi, Tunisie.
Pediatrie. 1993;48(11):788-91.
We report two cases of neonatal ascites. The first case is a 24 day old male referred for abdominal distention and edema. Peritoneal tap removed a transudative fluid. Ultrasonographic evaluation revealed obstructive posterior urethral valves. Bladder drainage led to resolution of the urinary ascites and renal function normalization. Long term follow-up after endoscopic resection of valves was good. The second case is a male infant who presented at birth with abdominal distention. Radiology revealed an urinoma and a left side hydronephrosis secondary to ureteropyelic junction syndrome which underwent a successful surgical treatment. Urinary ascites is a rare entity which calls for immediate diagnosis and management to preserve renal function.
我们报告两例新生儿腹水病例。第一例为一名24天大的男性，因腹胀和水肿前来就诊。腹腔穿刺抽出漏出液。超声检查发现后尿道瓣膜梗阻。膀胱引流使尿腹水消退，肾功能恢复正常。瓣膜内镜切除术后的长期随访情况良好。第二例是一名男婴，出生时即出现腹胀。影像学检查发现一个尿囊肿和继发于输尿管肾盂连接部综合征的左侧肾积水，该患儿接受了成功的手术治疗。尿腹水是一种罕见的病症，需要立即诊断和处理以保护肾功能。
