Massive urinary ascites after removal of a supra-pubic catheter: case report and review of the literature

Int Urogynecol J Pelvic Floor Dysfunct. 2007 Jul;18(7):831-3. doi: 10.1007/s00192-006-0247-y. Epub 2006 Nov 9.


Urinary ascites is a rare diagnosis usually associated with intra-peritoneal bladder perforation. We present a case of massive urinary ascites in a patient who presented 1 week after a total abdominal hysterectomy and sacrocolpopexy. We discuss how the diagnosis was made, the mechanism of biochemical changes associated with urinary ascites and the management. In summary, we show that a combination of serum and ascitic biochemistry are essential to make a diagnosis of urinary ascites.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Ascites / etiology
  • Ascites / urine*
  • Female
  • Humans
  • Middle Aged
  • Urinary Bladder / injuries*
  • Urinary Catheterization / adverse effects*