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Case report
Urinary ascites and anuria caused by bilateral fungal balls in a premature infant
  1. J H Ku1,
  2. M E Kim2,
  3. Y S Jeon3,
  4. N K Lee3,
  5. Y H Park4
  1. 1Department of Urology, Military Manpower Administration, Seoul, Korea
  2. 2Department of Urology, Soonchunhyang University School of Medicine, Pucheon, Korea
  3. 3Department of Urology, Soonchunhyang University School of Medicine, Chonan, Korea
  4. 4Department of Urology, Soonchunhyang University School of Medicine, Seoul, Korea
  1. Correspondence to:
    Dr Ku
    Department of Urology, Military Manpower Administration, Joong-Ang Shin-geom so, San 159-1 Shin-gil 7 dong, Youngdeungpo-Ku, Seoul 150-057, Korea; randykuhanmail.net

Abstract

A case is reported of anuria and urinary ascites secondary to bilateral ureteropelvic obstruction by fungal balls. Management consisted of bilateral nephrostomy drainage with local irrigation with amphotericin B, and systemic antifungal treatment without surgery. Aspiration by paracentesis was performed for the urinary ascites and continuous drainage through an 8 Fr pig tail catheter for the urinoma. The literature on renal fungus balls in neonates and infants is reviewed.

  • anuria
  • urinary ascites
  • candidal bezoar
  • premature
  • kidney

https://doi.org/10.1136/fn.89.1.F92

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