We present the case of a premature infant noted to have massive abdominal distension at birth. Obstetric ultrasound at delivery was significant for abdominal distension, oligohydramnios, and restricted chest wall motion. He was diagnosed to have posterior urethral valves with intraperitoneal rupture of the bladder. We present this case with a brief review of the literature.
Urinary ascites - chylous ascites - biliary ascites - neonatal abdominal distension - posterior urethral valves - paracentesis
