September 1990

Radiological Cases of the Month

Author Affiliations

Contributed from the Department of Pediatrics (Drs Rathore, Barton, and Silberstein), the Division of Infectious Diseases (Drs Rathore and Barton), and the Department of Radiology (Dr Silberstein), St Louis University School of Medicine, Cardinal Glennon Childrens Hospital, 1465 S Grand Blvd, St Louis, MO 63104.

Am J Dis Child. 1990;144(9):1047-1048. doi:10.1001/archpedi.1990.02150330107033

A 3380-g black female infant was admitted to the hospital at 2 weeks of age with a 2-day history of irritability and anorexia. She presented with respiratory distress, peripheral cyanosis, and shock. The pregnancy, labor, and delivery had been unremarkable. Her birth weight was 3400 g. A diagnosis of hypoplastic left heart syndrome, Escherichia coli sepsis, empyema, and urinary tract infection was made. She underwent cardiac catheterization after antibiotic and supportive therapy and catheter drainage of her bladder had resulted in clinical improvement. Concomitant visualization of her kidneys and ureters at the time of cardiac catheterization is shown in Fig 1, with ultrasonography shown in Fig 2.

Denouement and Discussion 

Obstruction of the Trigone of the Bladder by Balloon of Foley Catheter 

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