Laparoscopy-induced severe renal failure after appendectomy.

Autor: Aguirre-Allende I; Colorectal Surgery Department, University Hospital Donostia, San Sebastian, Spain., Gallego-Otaegui L; Endocrine Surgery Deparment, University Hospital Donostia, San Sebastian, Spain., Elosegui-Aguirrezabala JL; Colorectal Surgery Department, University Hospital Donostia, San Sebastian, Spain., Placer-Galán C; Colorectal Surgery Department, University Hospital Donostia, San Sebastian, Spain., Enriquez-Navascués JM; Colorectal Surgery Department, University Hospital Donostia, San Sebastian, Spain.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2019 Mar 21; Vol. 2019 (3), pp. rjz079. Date of Electronic Publication: 2019 Mar 21 (Print Publication: 2019).
DOI: 10.1093/jscr/rjz079
Abstrakt: Laparoscopy has gained importance in the abdominal emergency surgery field. Acute appendicitis is one of the major indications for emergency surgery, being laparoscopy the gold standard approach. We report a case of a 39-years-old female presenting with acute kidney injury (AKI) after laparoscopy. Differential diagnosis was considered with prerenal AKI etiology due to sepsis and low fluid input, however this was ruled out due to absence of electrolyte imbalance and no correlation with septic parameters. Laparoscopy CO 2 pneumoperitoneum can potentially lead to multiple organ failure, including renal. Laparoscopy induced AKI is related with both hormonal stimuli for renal vasoconstriction and increased intra-abdominal pressure, causing hypoxemia and tubular renal injury. In conclusion, very few cases of laparoscopy induced AKI in young patients with no previous renal disease have been reported. Surgeons must consider this complication in the differential diagnosis of postoperative AKI.
Databáze: MEDLINE
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