Unusual fetal ascites and spontaneous bladder rupture in a female fetus: a case report

Journal of Medical Case Reports
Florence CadoretOlivier Parant

Abstract

Fetal bladder rupture causing urinary ascites is uncommon. It is generally related to invasive fetal medicine procedures or obstructive disorders such as in posterior urethral valves in male fetuses. An exceptional case of spontaneous bladder rupture in a female fetus occurred in a pregnant woman treated with high doses of opiates in an intensive care unit. This unusual obstetric situation leads to discussion of the possible causes of fetal bladder rupture, its management, and the pediatric prognosis. We report the case of a 30-year-old nulliparous black woman with a history of mesenteric cystic lymphangioma and multiple bowel resections leading to chronic malabsorption. During her pregnancy, our patient presented with an occlusive syndrome and major bilateral renal dilation. Urinary derivation resulted in iatrogenic bilateral ureteral perforation. Our patient thus presented with major uroperitoneum, bilateral pleural effusion and acute renal failure, treated by thoracic drainage and bilateral nephrostomy. Postoperative pain required treatment with level III analgesics. In this context, 5 days after morphine treatment introduction an enlarged fetal bladder was observed, followed 3 days later by voluminous fetal ascites. The dia...Continue Reading

References

Feb 1, 1985·The Journal of Urology·T S TrulockJ R Woodard
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Apr 3, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Slobodan SpasojevicAleksandra Doronjski
Dec 9, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ruben A QuinteroEftichia V Kontopoulos
Jan 25, 2011·Urology·Luis A BraceroJun Koike
Aug 1, 2012·Journal of Paediatrics and Child Health·Tejasvi ChaudhariAlison L Kent

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Citations

Aug 10, 2021·Fetal and Pediatric Pathology·Jorge GutierrezSergio Ambiado

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Methods Mentioned

BETA
cesarean section

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