A case with spontaneous bladder rupture mimicking acute kidney injury.
Clin Nephrol
; 72(5): 391-3, 2009 Nov.
Article
em En
| MEDLINE
| ID: mdl-19863882
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.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças da Bexiga Urinária
/
Injúria Renal Aguda
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Clin Nephrol
Ano de publicação:
2009
Tipo de documento:
Article