Pseudorenal Failure Secondary to Reversed Intraperitoneal Autodialysis. (25th December 2013)

• Record Type: Journal Article
• Authors: Martens, Pieter
• Other Names: Korzets Z. Academic Editor.; Zuo L. Academic Editor.
• Is Part Of: Case reports in nephrology. Volume 2013(2013)
• Publication Date: 2013-12-25
• Subjects: Nephrology -- Periodicals; Kidneys -- Diseases -- Periodicals; Nephrology; Kidneys -- Diseases; Nephrology; Periodicals; Electronic journals; Periodicals; 616.61
• DOI: 10.1155/2013/982391
• Languages: English
• ISSNs: 2090-6641

Abstract

Abstract : 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.