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Major complication after intrauterine vesico-amniotic shunting

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Author(s): Springer Alexander | Fartacek Renate | Reck Carlos | Horcher Ernst | Bettelheim Dieter

Journal: African Journal of Paediatric Surgery
ISSN 0189-6725

Volume: 7;
Issue: 3;
Start page: 200;
Date: 2010;
Original page

Keywords: Foetal uropathy | posterior urethral valves | vesico-amniotic shunting

ABSTRACT
Bilateral foetal uropathy is the leading cause of chronic renal failure in childhood. Vesico-amniotic shunting (VAS) is a simple, feasible, and widely used procedure for decompressing the foetal urinary system. We report a case of a boy with bilateral foetal uropathy who underwent VAS at a gestational age of 29 weeks. Vesico-abdominal shunt dislodgement occurred and led to urinary ascites and anhydramnios. Postpartal laparotomy showed a shunt perforation between the urinary bladder and the peritoneal cavity.
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