R: Clin case: distended bladder

From: Andrea Corda (acord@tin.it)
Sat Jan 23 11:50:38 1999


Dear Ana, Referring to your case,I'd think about a urinary ascites secondary to a genitourinary obstruction.As you described things,this is my first hypotesis.As a possible cause (no other anomalies than a distended and hypertrophic bladder are seen?) ,why not think about Parvovirus B19?(I won't think about Syphilis though it seems to be back on the scene.)So,you might think about performing a funiculocentesis ,too.By the way,how's the the ultrasonic scenery going on?I'd have a third check first. Hope this could help, Regards A.Corda

-----Messaggio originale----- Da: Ana Cunha <ana@grafix.net> A: Multiple recipients of list <ultrasound@talk.obgyn.net> Data: sabato 23 gennaio 1999 1.08 Oggetto: Clin case: distended bladder

>Dear listers,
>
>I'm a sonographer in a Maternity in the north of Portugal. I'm
>posting a case to wich I would like to ask for your expert opinion:
>Single fetus, at 14 weeks presents with ascitis, distended bladder,
>oligohydramnios. At the following visit at 16 weeks, no ascitis was
>visible and there was some LA, cariotype - 46, XX. Presently she is
>20 weeks, has a distended bladder somewhat irregular in shape and with
>hypertrophic wall. Renal parenchima seems normal and there is no
>hydronephrosis, LA is normal.
>
>What should we look for next? Is there a way to establish the
>prognosis in this case?
>
>Thank you in advance for any help,
>
>Ana Cunha, MD
>Maternity Julio Dinis
>Porto - Portugal
>




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