| Pseudo-Renal Failure; Urinary Ascites and Uremia due to Bladder Rupture |
| Hyuk Lee, M.D.1, Kum Hyun Han, M.D., Ph.D.1, Joon Seong Jeon, M.D., Ph.D.2, Jung Wook Seo, M.D., Ph.D.3 and Sang Youb Han, M.D., Ph.D.1 |
Department of Internal Medicine1
Urology2
Radiology3 Inje University, Ilsan-Paik Hospital, Go-Yang, Korea |
| 증례 : 가성 신부전; 방광 파열로 인한 요성 복수와 요독증 |
| 이 혁1, 한금현1, 전준성2, 서정욱3, 한상엽1 |
| 인제대학교 일산백병원 내과학교실1, 비뇨기과학2, 영상의학교실3 |
|
|
| Abstract |
|
The main feature of acute renal failure is a decline in the glomerular filtration rate. However, urine leakage into the peritoneal cavity due to bladder rupture may cause pseudo-renal failure. This is a situation in which renal function is normal, along with the presence of elevated serum creatinine. A 47-year-old woman presented with abdominal distension and pretibial pitting edema on both lower extremities. She had no traumatic history. She did not complain of abdominal pain, and exhibit neither oliguria nor anuria. Her blood urea nitrogen (BUN) and serum creatinine was 105 and 11.2 mg/dL. Ascites showed that urea nitrogen and creatinine were 160 and 29 mg/dL, respectively. We confirmed bladder rupture by an abdominal CT scan and retrograde cystography. She underwent an emergency laparotomy to repair the ruptured bladder. Azotemia was normalized 2 days after the operation. Here we present a rare case of uremia due to bladder rupture. |
| Key Words:
Acute renal failure, Bladder, Rupture, Ascites |
|
PDF Links
Download Citation
