Urinary ascites and anuria caused by bilateral fungal balls in a premature infant

Arch Dis Child Fetal Neonatal Ed. 2004 Jan;89(1):F92-3. doi: 10.1136/fn.89.1.F92.


A case is reported of anuria and urinary ascites secondary to bilateral ureteropelvic obstruction by fungal balls. Management consisted of bilateral nephrostomy drainage with local irrigation with amphotericin B, and systemic antifungal treatment without surgery. Aspiration by paracentesis was performed for the urinary ascites and continuous drainage through an 8 Fr pig tail catheter for the urinoma. The literature on renal fungus balls in neonates and infants is reviewed.

Publication types

  • Case Reports

MeSH terms

  • Anuria / diagnostic imaging
  • Anuria / etiology*
  • Anuria / therapy
  • Ascites / diagnostic imaging
  • Ascites / etiology*
  • Ascites / therapy
  • Bezoars / complications*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature, Diseases / diagnostic imaging
  • Infant, Premature, Diseases / etiology*
  • Infant, Premature, Diseases / therapy
  • Kidney Diseases, Cystic / etiology
  • Pelvis
  • Tomography, X-Ray Computed / methods
  • Ultrasonography
  • Uterus