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Case Reports
. 2008 Jan;18(1):26-7.
doi: 10.4103/0971-4065.41286.

Intraperitoneal bladder rupture mimicking acute renal failure

K G Arun  1 , Salahauddin, V Leela, J Noel, K Venkatesh, S Ramakrishnan, R Dilip
Affiliations
Case Reports

Intraperitoneal bladder rupture mimicking acute renal failure

K G Arun et al. Indian J Nephrol. 2008 Jan.

Abstract

We describe a patient who presented with acute onset of abdominal pain, oliguria, gross hematuria and uremia. Further examination revealed spontaneous intraperitoneal rupture of the urinary bladder. Upon repair of the rupture, his biochemistry normalized within 24 h. Acute renal failure is characterized by an abrupt decline in glomerular filtration rate (GFR), biochemically reflected by elevation in serum creatinine level. It usually displays multifactorial etiology and can be classified as prerenal, renal and postrenal. In this case report, we describe a situation in which the increase in serum creatinine level was not related to any of these factors and was associated with normal GFR and absorption of urine across the peritoneal membrane following spontaneous rupture of bladder.

Keywords: Acute renal failure; bladder rupture.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Fig. 1
Fig. 1
Cystogram showing leakage of the contrast into the peritoneal cavity
See this image and copyright information in PMC

References

    1. Scott DJ, Gibson P, Winney RJ, Fearon KC. An unusual cause of abdominal pain following an alcoholic bout. Postgrad Med J. 1999;75:123–5. - PMC - PubMed
    1. Heyns CF, Rimington PD. Intraperitoneal rupture of the bladder causing the biochemical features of renal failure. Br J Urol. 1987;60:217–22. - PubMed
    1. Delfino VD, Jaqueto M, de Freitas Rodrigues MA, Moselin AJ. A man with a serum creatinine near 10 mg/dl with an intravenous pyelogram showing normally functioning kidneys. Nephrol Dial Transplant. 2006;21:1119–20. - PubMed
    1. Wystrychowski A, Nowicki M, Kokot F. Hyponatraemic renal pseudofailure-don't forget the possibility of uroperitoneum. Nephrol Dial Transplant. 1996;11:2491–2. - PubMed

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