interesting_case Complicated bladder extrophy patient

[Admin]

Case submitted by dr Arwa,

Delayed presentation , 3 month old bladder exstrophy , with small bladder plate.

primary repair & post osteotomy was performed, but pt developed generalized oedema ,& severe ascites on the 6th day post op , not responding to fluid restrictions or Human albumin.


How to manage

[Ahmed Nabil]

Does the patient pass urine adequately ?
did you did urea and creatinine from ascitis fluid ?
what about renal function and renal us ?

[Eslam Ghazy]

Please consider urinary ascites as first possibility.

[Arwa]

Thank you for your replies, as urinary ascites was excluded
we sent urine albumin/ creatinine ratio & pt was diagnosed with congenital nephrotic syndrome .