Brajendra SinghChinmay ChetanAisha NaazGirish Gupta2025-09-272024-06-04Singh B, Chetan C, Naaz A, Gupta G. Dual fluid silhouette in X-ray of the abdomen: a diagnostic flag for neurogenic bladder with urinary ascites. BMJ Case Rep. 2024 Jun 4;17(6):e259802. doi: 10.1136/bcr-2024-259802. PMID: 38834311.1757-790Xhttp://10.0.2.71/handle/123456789/280A neonate presented with abdominal distension and decreased urinary output. X-ray revealed dual abdominal fluid condition-ascites with a distended bladder, along with vertebral anomalies. The possibility of urinary ascites and neurogenic bladder was kept, which was further confirmed on evaluation. Here, we emphasise the crucial role of abdominal X-ray as a diagnostic tool in uncovering this intricate medical puzzle. By detailing the clinical presentation, diagnostic approach and treatment strategy, the report contributes insights into the rare and complex abdominal condition.enCatheterisation / catheter careNeonatal and paediatric intensive careNeonatal intensive careRenal medicineSpinal cordArticle