Korean J Urol.  1999 Nov;40(11):1558-1562.

A Case of Anuria and Urinary Ascites in a Premature Infant due to Bilateral Ureteropelvic Fungal Bezoars

Affiliations
  • 1Department of Urology, School of Medicine, Soonchunhyang University, Chonan, Korea.

Abstract

A 3-month-old female presented with anuria and abdominal distention for 1 day. The patient was twin and was delivered at 30 week-term with low birth weight. Emergent ultrasonography revealed both hydronephrosis and hyperechogenic mass within the both renal pelves. Urinoma around left kidney was also found. Computed tomography showed high density material filled dilated pelvises. Urinoma measured 3x4cm in the left prerenal space and urinary ascites in the right abdomen were found. Candida albicans was cultured from catheter drained urine. We started the care with percutaneous nephrostomy with amphotericin B irrigation, coupled with systemic antifungal therapy. And this management had a major role in the successful outcome.

Keyword

Anuria; Premature infants; Fungal bezoar

MeSH Terms

Abdomen
Amphotericin B
Anuria*
Ascites*
Bezoars*
Candida albicans
Catheters
Female
Humans
Hydronephrosis
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature*
Kidney
Nephrostomy, Percutaneous
Pelvis
Twins
Ultrasonography
Urinoma
Amphotericin B
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