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
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
收藏
页码:815 / 818
页数:4
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