A Case of in-utero Vesicoamniotic Shunting and Postnatal Vesicostomy in Very Low Birth Weight Baby with Posterior Urethral Valve Syndrome.
- Author:
Sung Hye KIM
1
;
Jae Won SHIM
;
Yun Shil CHANG
;
Soon Ha YANG
;
Kwan Hyeun PARK
;
Dong Kyu JIN
;
Won Soon PARK
Author Information
1. Department of Pediatrics, College of Medicine, University of Sungkyunkwan, Seoul, Korea. wspark@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Posterior urethral valve;
Vesicoamniotic shunt
- MeSH:
Ascites;
Catheters;
Creatinine;
Cystostomy*;
Drainage;
Humans;
Hydronephrosis;
Infant, Very Low Birth Weight*;
Parturition;
Pregnancy;
United Nations
- From:Journal of the Korean Pediatric Society
2002;45(8):1038-1042
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We present a case of in-utero vesicoamniotic shunting and postnatal vesicostomy in a very low birth weight baby with posterior urethral valve syndrome. He was diagnosed as posterior urethral valve at 24(+5) weeks' gestation. Because of severe hydronephrosis and oligohydroamnios, the shunt was established by basket-shaped catheter at 27(+0) weeks' gestation. After shunt, hydronephrosis improved. At 29(+4) weeks' gestation, the shunt catheter escaped from its position and severe urinary ascites and hydronephrosis developed. At 30 weeks' gestation, the baby was born and showed elevated BUN and creatinine. On the 10th day of birth, vesicostomy was done for urinary drainage. Thereafter, the baby has been followed up for 10 months and has had recurrent episodes of urinary infection. We report the case with a brief review of literature.
