Sakai K, Konda R, Ota S, Takeda A, Orikasa S
Department of Urology, Tohoku University School of Medicine, Sendai, Japan.
Int J Urol. 1998 Jul;5(4):379-82. doi: 10.1111/j.1442-2042.1998.tb00372.x.
Two cases of neonatal urinary ascites are reported, one (case 1) caused by posterior urethral valves associated with right vesicoureteral reflux, and the other (case 2) secondary to bilateral obstructed megaureter--a very rare cause. Abdominal distension, electrolyte imbalance, and an elevated BUN/serum creatinine ratio were noted at the time of hospitalization in both cases. These laboratory values promptly returned to normal after the establishment of appropriate urinary drainage, accomplished through bladder catheterization in case 1 and bilateral percutaneous nephrostomy in case 2. In case 1, transurethral resection of the posterior urethral valves was followed by resumption of normal urination. In case 2, bilateral ureteroneocystostomy with ureteral tapering was performed successfully. These are only the fifth and sixth cases of neonatal urinary ascites reported in the Japanese literature.
报告了两例新生儿尿腹症病例，一例（病例1）由后尿道瓣膜伴右侧膀胱输尿管反流引起，另一例（病例2）继发于双侧梗阻性巨输尿管——这是一种非常罕见的病因。两例患者在住院时均出现腹胀、电解质失衡以及血尿素氮/血清肌酐比值升高。在通过病例1的膀胱插管和病例2的双侧经皮肾造瘘建立适当的尿液引流后，这些实验室指标迅速恢复正常。在病例1中，经尿道切除后尿道瓣膜后恢复了正常排尿。在病例2中，成功进行了双侧输尿管膀胱再植术并对输尿管进行了缩窄处理。这是日本文献中仅报道的第五和第六例新生儿尿腹症病例。
