Pseudorenal failure secondary to reversed intraperitoneal autodialysis.
Pieter MartensPublished in: Case reports in nephrology (2013)
A 16-year-old boy was admitted for anuria, ascites, and abdominal pain. The patient had undergone a laparoscopic appendectomy two days prior to admission. Initial laboratory analysis revealed a plasma creatinine level of 5,07 mg/dL and blood urea nitrogen level of 75 mg/dL. Computed tomography imaging revealed diffuse abdominal ascites with normal kidneys without signs of hydronephrosis. Laprascopic revision found a 3 mm bladder tear and yielded an aspirate of 1,8 litre abdominal fluid. The abdominal fluid exhibited a fluid : serum creatinine ratio exceeding 1, indicating uroperitoneum. This case underscores the importance of bladder ruptures causing uroperitoneum presenting with azotemia.
Keyphrases
- abdominal pain
- computed tomography
- spinal cord injury
- case report
- single cell
- uric acid
- cell free
- total knee arthroplasty
- emergency department
- high resolution
- magnetic resonance imaging
- positron emission tomography
- low grade
- urinary tract
- metabolic syndrome
- minimally invasive
- total hip arthroplasty
- magnetic resonance
- photodynamic therapy
- fluorescence imaging
- amino acid