梗阻性泌尿系统疾病所致新生儿腹水。[2]。

Pediatrie Pub Date : 1993-01-01
S Fejji, M A Mongalgi, S Boukthir, K Belhadj, A Debbabi
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引用次数: 0

摘要

我们报告两例新生儿腹水。第一个病例是一名24天大的男性,因腹胀和水肿而就诊。腹膜抽头取出了渗出液。超声检查显示后尿道瓣膜梗阻性。膀胱引流可缓解腹水,使肾功能恢复正常。内镜下瓣膜切除术后长期随访良好。第二个病例是一名男婴,出生时出现腹胀。放射学显示尿瘤和左侧肾积水继发于输尿管肾盂连接处综合征,并接受了成功的手术治疗。尿性腹水是一种罕见的实体,需要立即诊断和处理,以保持肾功能。
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[Neonatal ascites caused by obstructive urologic disease. Apropos of 2 cases].

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.

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