Giant urinoma in a newborn boy with a posterior urethral valve: A сase report and review

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Posterior urethral valve is the most common cause of infravesical obstruction in male newborns. Spontaneous rupture of the urinary collecting system with urine extravasation is a rare complication in this group of children. We present a case of urinoma in a patient with a posterior urethral valve at 4 weeks of age with renal insufficiency. The transurethral destruction of the valve and evacuation of the urinoma contributed to the restoration of the urodynamics and recovery of renal function. Urinoma is a rare manifestation of this defect, and its significance for predicting the preservation of renal function has not been fully determined yet. Reports about the occurrence of urine extravasation in the posterior urethral valve and studying kidney function in the long-term period can clarify the significance of this spontaneous mechanism of urinary tract decompression.

作者简介

Ilya Kagantsov

Institute of Perinatology and Pediatrics, Almazov National Medical Research Centre; Pitirim Sorokin Syktyvkar State University

编辑信件的主要联系方式.
Email: ilkagan@rambler.ru
ORCID iD: 0000-0002-3957-1615
SPIN 代码: 7936-8722

Dr. Sci. (Med.), Chief Researcher

俄罗斯联邦, 2 Akkuratova str., Saint Petersburg, 197341

Suren Zadykyan

Center of Protection of Motherhood and Childhood

Email: mdoctor@inbox.ru
ORCID iD: 0000-0001-5544-7713
SPIN 代码: 4353-7005

Cand. Sci. (Med.)

俄罗斯联邦, 2 Akkuratova str., Saint Petersburg, 197341

Robert Zadykyan

Center of Protection of Motherhood and Childhood

Email: robs90@inbox.ru
ORCID iD: 0000-0002-5994-0537
SPIN 代码: 7964-7037

Pediatric Surgeon

俄罗斯联邦, 2 Akkuratova str., Saint Petersburg, 197341

Vyacheslav Svarich

Pitirim Sorokin Syktyvkar State University; Republican Children’s Clinical Hospital

Email: svarich61@mail.ru
ORCID iD: 0000-0002-0126-3190
SPIN 代码: 7684-9637

Dr. Sci. (Med.), Professor

俄罗斯联邦, 2 Akkuratova str., Saint Petersburg, 197341

Vladimir Bairov

Institute of Perinatology and Pediatrics, Almazov National Medical Research Centre

Email: bairov_vg@almazovcentre.ru
ORCID iD: 0000-0002-8446-830X
SPIN 代码: 6025-8991

Dr. Sci. (Med.), Professor

俄罗斯联邦, 2 Akkuratova str., Saint Petersburg, 197341

Anna Sukhotskaya

Institute of Perinatology and Pediatrics, Almazov National Medical Research Centre

Email: sukhotskaya_aa@almazovcentre.ru
ORCID iD: 0000-0002-8734-2227
SPIN 代码: 6863-7436

Cand. Sci. (Med.), Associate professor

俄罗斯联邦, 2 Akkuratova str., Saint Petersburg, 197341

参考

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  2. Wells JM, Mukerji S, Chandran H, et al. Urinomas protect renal function in posterior urethral valves a population based study. J Pediatr Surg. 2010;45(2):407–410. doi: 10.1016/j.jpedsurg.2009.10.084
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  4. Dobrosel’sky MV, Chepurnoy GI, Sizonov VV. A rare anatomic variant of congenital urethral valve complicated by bilateral vesicoureteral reflux. State of the art. Russian Journal of Pediatric Surgery. 2014;18(5):41–44. (In Russ.)
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  6. Gurskaya AS, Menovschikova LB, Levitskaya MV, et al. The diagnosis and treatment of neonates and infants with posterior urethral valves. Andrology and Genital Surgery. 2014;15(2):44–47. (In Russ.) DOI: 17650/2070-9781-2014-2-44-47
  7. Olhova EB, Miseriya AA, Fomichev MIu, et al. Ultrasound diagnosis of complications obstruktivnyh uropathies newborn. Radiology Practice Journal. 2020;(4):20–41. (In Russ.)
  8. Adorisio O, Silveri M, Colajacomo M, et al. The impact of perinatal urinoma formation on renal function: our experience and review of the literature. J Paediatr Child Health. 2011;47(4):217–222. doi: 10.1111/j.1440-1754.2010.01927.x
  9. Patil KK, Wilcox DT, Samuel M, et al. Management of urinary extravasation in 18 boys with posterior urethral valves. J Urol. 2003;169(4):1508–1511
  10. Lundar L, Aksnes G, Morkrid L, Emblem R. Prenatal extravasation of urine seems to preserve renal function in boys with posterior urethral valves. J Pediatr Urol. 2019;15(3):241.e1–241.e7. doi: 10.1016/j.jpurol.2019.02.010
  11. Kiliś-Pstrusińska K, Pukajło-Marczyk A, Patkowski D, et al. Spontaneous rupture of kidney due to posterior urethral valve-diagnostic difficulties. Iran J Pediatr. 2013;23(3):360–362.

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