Delayed Diagnosis of Iatrogenic Bladder Perforation in a Neo
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Iatrogenic bladder injuries have been reported in the neonate during umbilical artery/vein catheterization, voiding cystourethrogram, urinary catheterizations, and overwhelming hypoxic conditions. Patients with iatrogenic bladder perforations can present with acute abdomen indicating urinary peritonitis, septic-uremic shock, or subtle symptoms like abdominal distension, pain, hematuria, uremia, electrolyte imbalances, and/or difficulty urinating. Predisposing factors such as hypotonia as seen in Down syndrome, connective tissue disorders as in Ehlers-Danlos syndrome, or structural malformations such as posterior urethral valves should alert urologists to take special precautions with these patients because they may be at a higher risk of iatrogenic injury. The infant anatomy itself contributes to an increased risk of iatrogenic perforation. The following neonatal case report of perforated bladder includes a review of the signs, symptoms, diagnostic tools, and management of bladder injury in neonates.......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056302/
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