Newborn male who has not had a wet diaper after birth

Genitourinary
VCUG of urine ascities
AXR scout image (left) shows centralization of mildly distended bowel loops. AP image obtained at the end of a voiding cystourethrogram (right) shows left Grade V vesicoureteral reflux. The overall density of the abdomen is increased in the interval due to contrast extravasation out of the renal collecting system and extravasated contrast is outline loops of bowel and can be seen tracking up the right lateral aspect of the abdomen.

The diagnosis was urine ascites due to posterior urethral valves causing high grade vesicoureteral reflux and subsequent rupture of the renal collecting system.

Published