Abstract Massive fetal ascites is unusual and, while having diverse mechanisms, is most frequently due to obstructive uropathy. A rare form of urinary tract obstruction, complete urethral atresia with complex urogenital tract anomalies, is anatomically documented in the following case report. In addition, concurrent cytomegalic inclusion disease, also rarely associated with fetal ascites, was present. Unlike the present case, some more common forms of neonatal urinary tract obstruction are amenable to surgical relief. For this reason, the level of obstruction is clinically important. References 1. Radman HM: Dystocia due to fetal abdominal enlargement . Obstet Gynecol 19:481-485, 1962. 2. Lord JM: Fetal ascites . Arch Dis Child 28:398-403, 1953.Crossref 3. France NE, Back EH: Neonatal ascites associated with urethral obstruction . Arch Dis Child 29:565-568, 1954.Crossref 4. Ráliŝ Z, Forbes M: Intra-uterine atrophy and gangrene of the lower extremity of the foetus caused by megacystis due to urethral atresia . J Pathol 104:31-35, 1971.Crossref 5. Neimann N, et al: Ascite néonatale par uropathie obstructive . Pediatrie 27:357-367, 1972. 6. Mogg RA: Congenital anomalies of the urethra . Br J Urol 40:638-648, 1968.Crossref 7. North AF, Eldredge DM, Talpey WB: Abdominal distention at birth . Am J Dis Child 111:613-619, 1966. 8. Moncada R, et al: Neonatal ascites associated with urinary outlet obstruction (urine ascites) . Radiology 90:1171-1180, 1968. 9. Leonidas JC, Leiter E, Gribetz D: Congenital urinary tract obstruction presenting with ascites at birth: Roentgenographic diagnosis . Radiology 96:111-112, 1970. 10. Kissane JM, Smith MG: Viral and rickettsial infections , in Pathology of Infancy and Childhood . St. Louis, CV Mosby Co, 1967, pp 67-103. 11. Frank DJ, et al: Fetal ascites and cytomegalic inclusion disease . Am J Dis Child 112:604-607, 1966. 12. Hanshaw JB: Developmental abnormalities associated with congenital cytomegalovirus infection . Adv Teratol 4:64-93, 1970.
American Journal of Diseases of Children – American Medical Association
Published: Jun 1, 1974