A case of pseudorenal failure - spontaneous rupture of the urinary bladder
| Autor: | Bourgeois, S, Decupere, M, Devriendt, D, Lesage, K, Van Moerkercke, W |
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| Přispěvatelé: | Nuclear Medicine |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Rupture
Spontaneous/diagnosis Urea/analysis Uroperitoneum Tomography X-Ray Computed/methods gastroenterology Middle Aged Ascitic Fluid/pathology Abdomen Acute/diagnosis Diagnosis Differential ascites Creatinine/analysis Urinary Bladder/pathology Acute kidney insufficiency Kidney Function Tests/methods Pseudorenal failure Humans risk factors Urinary Diversion/methods Female Neoplasm Invasiveness Carcinoma Transitional Cell/pathology Urinary Bladder Neoplasms/pathology |
| Popis: | A 64-year old woman was admitted to the hospital for severe abdominal pain and distension after gardening and chopping wood the day before. She had a medical history of superficial transitional cell carcinoma (TCC) of the urinary bladder and a laparoscopic nefro-ureterectomy for an invasive TCC of the upper urothelial tract in 2012. Clinical examination showed an acute abdomen. Laboratory analysis revealed a plasma creatinine level of 4,23 mg/dl. Computed tomography (CT) imaging of the abdomen showed hypodense free intraperitoneal fluid, suspicious for ascites. Serum creatinine level decreased to 1.8 mg/dl after placement of a urinary catheter. Laparoscopic exploration revealed a perforated ulcer in the urinary bladder dome, the intraperitoneal fluid showed abnormally high levels of urea and creatinine, confirming uroperitoneum. This case shows that uroperitoneum must be in-cluded in the differential diagnosis of patients with diffuse/acute abdominal pain, abdominal distension and elevated levels of serum creatinine, and that vigilance is indicated. |
| Databáze: | OpenAIRE |
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