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Virtual Pediatric Hospital: Paediapaedia: Neonatal Ascites Paediapaedia: Genitourinary Diseases

Neonatal Ascites

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Clinical Presentation:
The abdomen is distended without other evidence of intestinal obstruction. Can be associated with respiratory distress due to in utero urinary tract obstruction, fetal anuria, and pulmonary hypoplasia.

Etiology/Pathophysiology:
Urine escapes from the obstructed urinary tract through calyceal fornices into the perirenal space where it remains loculated forming a urinoma that can decompress into the peritoneum. Associated pleural effusions can be seen.

Pathology:
Not applicable

Imaging Findings:
Hazy abdomen with centralization of the bowel loops.

DDX:
Neonatal Ascites

References:
See References Chapter.

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