A case of neonatal Ascites and Hyperkalemia

A report describes a case of a 10-day-old, term-born male neonate who presented with ascites, hyperkalemia, and acute kidney injury. USG demonstrated bilateral hydroureteronephrosis, urinoma of the left kidney, and 10mm bladder wall thickness. Per-urethral catheterization showed adequate urine output; however, the serum potassium level continued to rise, indicating adopting antikalemic measures. 

The patient underwent abdominal paracentesis heeded by vesicostomy and peritoneal drain insertion. Continuous drainage of urine from the peritoneal cavity lowered the hyperkalemia. Considering the etiology of PUV, a cystoscopy and micturating cystourethrogram was further planned.

Pande N, Singhal J, Fadnis M. et al. Neonatal Ascites and Hyperkalemia. Indian J Pediatr. 2023;90:737. https://doi.org/10.1007/s12098-023-04583-z