Urinary Extravasation in a New Born Infant Associated with Congenital Stenosis of the Urethra

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Congenital obstructive lesions of the urethra, though uncommon, have been recognized more frequently in recent years due to improved diagnostic methods, notably cystoscopy and intravenous urography. Most of the earlier reports were based upon autopsy findings but today the majority are recognized clinically and the various types have been reported and classified.

The present case is reported not only because it represents an unusual type of congenital urethral obstruction, but also because it was complicated by urinary extravasation.

Report of Case

A male infant, aged three days, was admitted to the Cleveland Clinic Hospital on May 9, 1938, because he had passed no urine since birth.

The baby was a full term infant, the mother’s third pregnancy. Delivery was accomplished by version extraction. The family physician reported that, although it was an unusually large baby, weighing 13 pounds and 13 ounces, no difficulty was encountered in the delivery. Examination of the baby following birth showed it to be normal in every respect. The child emitted a strong cry on being delivered and there were no signs of maldevelopment.

For the first 24 hours, the diapers were apparently somewhat moist and it was assumed that probably some urine was passing, although this is open to question. The child had passed some meconium. However, in the next 48 hours, it became evident that no urine was being passed. Twenty-four hours before admission to the Clinic there appeared for the first time some edema of the scrotum and penis. The family physician, feeling. . .



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