A Case of Anuria and Urinary Ascites in a Premature Infant due to Bilateral Ureteropelvic Fungal Bezoars.
- Author:
Ja Hyeon KU
1
;
Doo Sang KIM
;
Joon Mo KIM
;
Young Ho KIM
;
Youn Soo JEON
;
Nam kyu LEE
Author Information
1. Department of Urology, School of Medicine, Soonchunhyang University, Chonan, Korea.
- Publication Type:Case Report
- Keywords:
Anuria;
Premature infants;
Fungal bezoar
- MeSH:
Abdomen;
Amphotericin B;
Anuria*;
Ascites*;
Bezoars*;
Candida albicans;
Catheters;
Female;
Humans;
Hydronephrosis;
Infant;
Infant, Low Birth Weight;
Infant, Newborn;
Infant, Premature*;
Kidney;
Nephrostomy, Percutaneous;
Pelvis;
Twins;
Ultrasonography;
Urinoma
- From:Korean Journal of Urology
1999;40(11):1558-1562
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 3-month-old female presented with anuria and abdominal distention for 1 day. The patient was twin and was delivered at 30 week-term with low birth weight. Emergent ultrasonography revealed both hydronephrosis and hyperechogenic mass within the both renal pelves. Urinoma around left kidney was also found. Computed tomography showed high density material filled dilated pelvises. Urinoma measured 3x4cm in the left prerenal space and urinary ascites in the right abdomen were found. Candida albicans was cultured from catheter drained urine. We started the care with percutaneous nephrostomy with amphotericin B irrigation, coupled with systemic antifungal therapy. And this management had a major role in the successful outcome.
