Spontaneous rupture of the urinary bladder presenting as oliguric acute renal failure

被引：31

作者：

Kato, Akihiko ^{[1
]}

Yoshida, Ken-ichi ^{[2
]}

Tsuru, Nobuo ^{[3
]}

Ushiyama, Tomomi ^{[3
]}

Suzuki, Kazuo ^{[4
]}

Ozono, Seiichiro ^{[3
]}

Hishida, Akira ^{[2
]}

机构：

[1] Hamamatsu Univ Sch Med, Div Blood Purificat, Hamamatsu, Shizuoka 4313192, Japan

[2] Hamamatsu Univ Sch Med, Dept Med 1, Hamamatsu, Shizuoka 4313192, Japan

[3] Hamamatsu Univ Sch Med, Dept Urol, Hamamatsu, Shizuoka 4313192, Japan

[4] Shintoshi Clin, Shizuoka, Japan

来源：

INTERNAL MEDICINE | 2006年 / 45卷 / 13期

关键词：

ascites; acute renal failure; oliguria; neurogenic bladder; pelvic irradiation;

D O I：

10.2169/internalmedicine.45.1748

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 64-year-old female was admitted to hospital for acute abdominal pain with ascites. The patient had received postoperative pelvic irradiation for carcinoma of the uterine cervix 7 years previously. Serum creatinine (Scr) was elevated to 2.70 mg/dl, and urinary output was reduced to below 200 ml/ day. Cystoscopy revealed a small perforation from the bladder diverticulum. Following transurethral catheterization, urinary output was promptly increased, and Scr was returned to 0.65 mg/dl 4 days later. This rare case suggested that spontaneous rupture of the urinary bladder following postoperative radiotherapy could occur very late with laboratory features of oliguric acute renal failure.

引用

页码：815 / 818

页数：4

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