Pseudo-acute Renal Failure due to Intraperitoneal Urine Leakage.

Zhou C, Ying X, Feng W
Internal medicine (Tokyo, Japan) · 2015 · doi:10.2169/internalmedicine.54.3330 · PMID:26179535
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This case report describes a bladder perforation presenting as pseudo-acute renal failure with urinary ascites, highlighting the diagnostic challenge of distinguishing intraperitoneal urine leakage from true acute renal failure.

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This case report describes a patient presenting with ascites, oliguria, vomiting, and elevated serum creatinine who was initially misdiagnosed with acute renal failure. The underlying cause was identified as intraperitoneal urine leakage resulting from a spontaneous bladder rupture without obvious trauma. The authors highlight that the delayed onset of urinary ascites symptoms created a significant diagnostic challenge due to the rarity of the condition. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Ascites, oliguria and vomiting with an increasing serum creatinine level are often observed in patients with acute renal failure. However, these symptoms are also noted in individuals with intraperitoneal urinary leakage. Bladder rupture without a history of obvious trauma is sometimes mistaken for acute renal failure. We herein report a case of bladder perforation resembling acute renal failure in which the presentation was delayed until the patient began to experience symptoms of urinary ascites. The diagnostic dilemma associated with the rarity of this condition and possible aetiologies are discussed.
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CASE REPORTS Pseudo-acute Renal Failure due to Intraperitoneal Urine Leakage 2015 Volume 54 Issue 14 Pages 1777-1780 Details Abstract Ascites, oliguria and vomiting with an increasing serum creatinine level are often observed in patients with acute renal failure. However, these symptoms are also noted in individuals with intraperitoneal urinary leakage. Bladder rupture without a history of obvious trauma is sometimes mistaken for acute renal failure. We herein report a case of bladder perforation resembling acute renal failure in which the presentation was delayed until the patient began to experience symptoms of urinary ascites. The diagnostic dilemma associated with the rarity of this condition and possible aetiologies are discussed. © 2015 by The Japanese Society of Internal Medicine Favorites & Alerts Recently viewed articles Predecessor

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