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Major complication after intrauterine vesico-amniotic shunting

A Springer
R Fartacek
CA Reck
E Horcher
D Bettelheim


Bilateral foetal uropathy is the leading cause of chronic renal failure in childhood. Vesico-amniotic shunting (VAS) is a simple, feasible, and widely used procedure for decompressing the foetal urinary system. We report a
case of a boy with bilateral foetal uropathy who underwent VAS at a gestational age of 29 weeks. Vesico-abdominal shunt dislodgement occurred and led to urinary ascites and anhydramnios. Postpartal laparotomy showed a
shunt perforation between the urinary bladder and the peritoneal cavity.