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June 1974

Massive Fetal Ascites, Urethral Atresia, and Cytomegalic Inclusion Disease

Author Affiliations

From the Department of Pathology, Harvard Medical School, and the James Homer Wright Pathology Laboratories of the Massachusetts General Hospital; and the Department of Pathology, Boston Hospital for Women, Lying-In Division, Boston.

Am J Dis Child. 1974;127(6):895-897. doi:10.1001/archpedi.1974.02110250121020

Massive fetal ascites is unusual and, while having diverse mechanisms, is most frequently due to obstructive uropathy. A rare form of urinary tract obstruction, complete urethral atresia with complex urogenital tract anomalies, is anatomically documented in the following case report. In addition, concurrent cytomegalic inclusion disease, also rarely associated with fetal ascites, was present. Unlike the present case, some more common forms of neonatal urinary tract obstruction are amenable to surgical relief. For this reason, the level of obstruction is clinically important.