Intraperitoneal Bladder Perforation and Life-threatening Renal Failure in a Neonate Following Circumcision With the Plastibell Device.

Abstract:

: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.

journal_name

Urology

journal_title

Urology

authors

Dwyer M,Peffer N,Fuller T,Cannon G

doi

10.1016/j.urology.2015.11.022

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

134-6

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(15)01085-7

journal_volume

89

pub_type

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