Case Report


Fetal urinary ascites due to posterior urethral valve: A case report

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1 Obstetrics and Gynecology Department, CHU Ibn Rochd de Casablanca, 6, rue vesale, Residence Diar El Fath, Etage 3, no 33, Casablanca, Morocco

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Imane Joudar

Obstetrics and Gynecology Department, CHU Ibn Rochd de Casablanca, 6, rue vesale, Residence Diar El Fath, Etage 3, no 33, Casablanca,

Morocco

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Article ID: 100142Z08JI2023

doi: 10.5348/100142Z08JI2023CR

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How to cite this article

Joudar I, Khalloufi C, Jalal M, Lamrissi A, Bouhya S. Fetal urinary ascites due to posterior urethral valve: A case report. J Case Rep Images Obstet Gynecol 2023;9(1):36–39.

ABSTRACT


Introduction: Urinary peritonitis is a rare event that can occur most often in congenital malformation of posterior urethral valves (PUVs) due to bladder rupture or upper urinary tract. This malformation is most common in male newborns. The prognosis depends on the degree of oligohydramnios and precocity of installation with which posterior urethral valve is always associated. It is a factor that affects significantly the intrauterine development of the lungs and the severity of kidney impairment. Nowadays, diagnosis is prenatally possible, which leads to early intrauterine treatment with urinary decongestion, thus prognosis is significantly improved.

Case Report: In this paper we talk about the case of a male fetus with posterior urethral valve manifested as fetal ascites after rupture of the urinary bladder wall giving rise to urinary peritonitis.

Conclusion: The ultrasound diagnosis of fetal ascites is relatively easy; however, some images may incorrectly lead to the diagnosis of fetal ascites that’s why it is important to know them as well as the different etiologies.

Keywords: Antenatal diagnosis, Fetal ascites, Fetal urinary peritonitis, Posterior urethral valve, Potter syndrome

SUPPORTING INFORMATION


Author Contributions

Imane Joudar - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Chadia Khalloufi - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Mohamed Jalal - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Amine Lamrissi - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Said Bouhya - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2023 Imane Joudar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.