Isolated Fetal Ascites Secondary to Persistent Urogenital Sinus

Objective. To present a case of isolated ascites secondary due to urogenital abnormalities (urogenital sinus) without any other prenatal ultrasound marker. Method. A 36-year-old woman with prenatal isolated ascites delivered a female baby, weighing 2.285 g; ascites was drained at birth and the baby...

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Main Authors: D. Camanni, A. Zaccara, M. L. Capitanucci, G. Mosiello, I. Capolupo, B. D. Iacobelli, M. De Gennaro
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2009/219010
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author D. Camanni
A. Zaccara
M. L. Capitanucci
G. Mosiello
I. Capolupo
B. D. Iacobelli
M. De Gennaro
author_facet D. Camanni
A. Zaccara
M. L. Capitanucci
G. Mosiello
I. Capolupo
B. D. Iacobelli
M. De Gennaro
author_sort D. Camanni
collection DOAJ
description Objective. To present a case of isolated ascites secondary due to urogenital abnormalities (urogenital sinus) without any other prenatal ultrasound marker. Method. A 36-year-old woman with prenatal isolated ascites delivered a female baby, weighing 2.285 g; ascites was drained at birth and the baby underwent several episodes of urinary retention prior to undergoing X-ray investigations. Results. A voiding cystourethrogram revealed a short urogenital sinus: a vesicostomy was performed. A vaginoscopy revealed double vagina with a large posterior vagina. A posterior sagittal anorectal pull-through with genitoplasty was performed at 2 years old with 1-year follow-up. Conclusions. Though rare, a urogenital abnormality is to be suspected in fetal ascites cases with negative viral tests and no cardiac anomalies. The most common ultrasound marker of such abnormalities (fluid filled cavity) may be missing because of complete drainage of urine through the tubes into peritoneum.
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series Obstetrics and Gynecology International
spelling doaj-art-2702773c79944de7b53e07e9aa4840e62025-02-03T06:13:24ZengWileyObstetrics and Gynecology International1687-95891687-95972009-01-01200910.1155/2009/219010219010Isolated Fetal Ascites Secondary to Persistent Urogenital SinusD. Camanni0A. Zaccara1M. L. Capitanucci2G. Mosiello3I. Capolupo4B. D. Iacobelli5M. De Gennaro6Urodynamics unit, Department of Nephrology and Urology, Bambino Gesù Children's Hospital, 00165 Rome, ItalyUrodynamics unit, Department of Nephrology and Urology, Bambino Gesù Children's Hospital, 00165 Rome, ItalyUrodynamics unit, Department of Nephrology and Urology, Bambino Gesù Children's Hospital, 00165 Rome, ItalyUrodynamics unit, Department of Nephrology and Urology, Bambino Gesù Children's Hospital, 00165 Rome, ItalyDepartment of Neonatology, Bambino Gesù Children's Hospital, 00165 Rome, ItalyNeonatal Surgery Unit, Medical and Surgical Department of Neonatology, Bambino Gesù Children's Hospital, 00165 Rome, ItalyUrodynamics unit, Department of Nephrology and Urology, Bambino Gesù Children's Hospital, 00165 Rome, ItalyObjective. To present a case of isolated ascites secondary due to urogenital abnormalities (urogenital sinus) without any other prenatal ultrasound marker. Method. A 36-year-old woman with prenatal isolated ascites delivered a female baby, weighing 2.285 g; ascites was drained at birth and the baby underwent several episodes of urinary retention prior to undergoing X-ray investigations. Results. A voiding cystourethrogram revealed a short urogenital sinus: a vesicostomy was performed. A vaginoscopy revealed double vagina with a large posterior vagina. A posterior sagittal anorectal pull-through with genitoplasty was performed at 2 years old with 1-year follow-up. Conclusions. Though rare, a urogenital abnormality is to be suspected in fetal ascites cases with negative viral tests and no cardiac anomalies. The most common ultrasound marker of such abnormalities (fluid filled cavity) may be missing because of complete drainage of urine through the tubes into peritoneum.http://dx.doi.org/10.1155/2009/219010
spellingShingle D. Camanni
A. Zaccara
M. L. Capitanucci
G. Mosiello
I. Capolupo
B. D. Iacobelli
M. De Gennaro
Isolated Fetal Ascites Secondary to Persistent Urogenital Sinus
Obstetrics and Gynecology International
title Isolated Fetal Ascites Secondary to Persistent Urogenital Sinus
title_full Isolated Fetal Ascites Secondary to Persistent Urogenital Sinus
title_fullStr Isolated Fetal Ascites Secondary to Persistent Urogenital Sinus
title_full_unstemmed Isolated Fetal Ascites Secondary to Persistent Urogenital Sinus
title_short Isolated Fetal Ascites Secondary to Persistent Urogenital Sinus
title_sort isolated fetal ascites secondary to persistent urogenital sinus
url http://dx.doi.org/10.1155/2009/219010
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AT mlcapitanucci isolatedfetalascitessecondarytopersistenturogenitalsinus
AT gmosiello isolatedfetalascitessecondarytopersistenturogenitalsinus
AT icapolupo isolatedfetalascitessecondarytopersistenturogenitalsinus
AT bdiacobelli isolatedfetalascitessecondarytopersistenturogenitalsinus
AT mdegennaro isolatedfetalascitessecondarytopersistenturogenitalsinus