Intraperitoneal Bladder Perforation and Life-threatening Renal Failure in a Neonate Following Circumcision With the Plastibell Device - 12/03/16
, Thomas Fuller a, c, d, Glenn Cannon a, c, dAbstract |
We present the case of an infant who suffered intraperitoneal bladder perforation secondary to routine neonatal circumcision with the Plastibell device. On day-of-life 5, the patient presented with abdominal distention, vomiting, diarrhea, and severe acute renal failure. After removal of a distal meatal obstruction caused by the Plastibell device and open repair of the bladder defect, the patient had an uneventful recovery with rapid return of renal function. Despite the relative safety of the Plastibell, this case underscores the importance of careful device placement, parental education, keen clinical judgment, and prompt intervention when indicated.
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| Financial Disclosure: The authors declare that they have no relevant financial interests. |
Vol 89
P. 134-136 - mars 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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