A case with spontaneous bladder rupture mimicking acute kidney injury.

Auteurs :	T Horino, M Okazaki, H Nishikawa, T Takao, Y Taniguchi, T Morita, Y Terada
Langue :	Eng.
Date :	2009-10-29
Journal :	Clinical nephrology (0301-0430)
Release:	Clin Nephrol. 2009 Nov;72(5):391-3
Abstract:	A 77-year-old female with abdominal pain and ascites was admitted to our hospital. She had a past history of the postoperative pelvic irradiation for uterine cancer and subsequently suffered from neurogenic bladder. On admission, serum creatinine (s-Cr) and blood urea nitrogen (BUN) were elevated to 9.9 mg/dl and 131 mg/dl, respectively. However, both the ratio of BUN/s-Cr and creatinine in ascites/s-Cr were significantly elevated. The clinical manifestations of the present case were not typical for acute kidney injury. Furthermore, 2 days after urethral catheterization, both s-Cr and BUN were normalized (0.69 mg/dl and 10 mg/dl, respectively) and her symptoms had improved immediately. Therefore, we diagnosed her disease as spontaneous bladder rupture. We report a case with spontaneous bladder rupture mimicking acute kidney injury forty years after postoperative pelvic irradiation for uterine cancer.
Copyright:	Clinical nephrology Department of Endocrinology, Kochi Medical School, Kohasu, Okoh-cho, Nankoku, Japan. horinott ya hoo.co.jp
Full text:	DOI - Clinical nephrology (DOI) Dustri-Verlag Dr. Karl Feistle GmbH - HTML (a besoin d'abonnement) EBSCO - HTML (a besoin d'abonnement)
Sujets:	sujet âgé, Diagnosis, Differential, femelle, humains, Kidney Failure, Acute, pelvis, Rupture, Spontaneous, Urinary Bladder Diseases