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A giant fetal urinoma in a neonate without detectable obstructive uropathy.

Authors
  • Cimador, M
  • Castagnetti, M
  • Rosone, G
  • Lima, M
  • De Grazia, E
Type
Published Article
Journal
European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie
Publication Date
Oct 01, 2003
Volume
13
Issue
5
Pages
355–359
Identifiers
PMID: 14618532
Source
Medline
License
Unknown

Abstract

It is very difficult to find a reasonable explanation for the occurrence of a urinary extravasation as a consequence of a vesico-ureteral reflux as seen in this neonate. We know that an intra-renal reflux can be the final result of high-grade vesico-ureteral reflux, but we find it very strange that this could induce a parenchymal rupture in the absence of a rapid increase of pressure and thus without a urinary stricture or stenosis. We can only assume that a prenatal transient urethral outflow obstruction was the cause of this renal rupture. A syringocoele might be the most probable transitory cause of prenatal obstruction.

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