Bladder rupture causing pseudo acute renal failure

  • Luciana Andrea Avena Smeili Divisão de Clínica Médica do Hospital Universitário da Universidade de São Paulo, São Paulo/SP. Brasil
  • Elizabeth In Myung Kim Divisão de Clínica Médica do Hospital Universitário da Universidade de São Paulo, São Paulo/SP, Brasil
  • Carlos Eduardo Marcello Divisão de Clínica Médica do Hospital Universitário da Universidade de São Paulo, São Paulo/SP, Brasil
  • Leonardo Bianqui Hospital das Clínicas da Faculdade de Medicina da USP
  • João Augusto dos Santos Martines Serviço de Imagenologia do Hospital Universitário - Universidade de São Paulo, São Paulo/SP, Brasil
  • Américo Toshiaki Sakai Divisão de Clínica Cirúrgica do Hospital Universitário da USP
Keywords: Urinary bladder, Dialysis, Renal insufficiency, Ascitis.

Abstract

Bladder rupture is a rare condition associated with significant morbidity
and mortality. It is classified into traumatic, nontraumatic or idiopathic and
spontaneous. The nonspecific initial clinical presentation is followed by
discomfort in the lower abdomen, oliguria, hematuria and ascitis. Laboratory
abnormalities simulate the picture of acute renal failure and occurs by a
mechanism called auto reverse dialysis, with absorption of excreta through
the peritoneal membrane. The authors describe a case of bladder rupture
in morphologically and functionally normal urinary bladder associated with
alcohol intake in young healthy man, manifested by abdominal discomfort,
pseudo renal failure and massive ascitis. The diagnosis was made by an
abdominal multidetector computed tomography confirmed by the finding of
7 cm laceration at laparotomy.

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Published
2011-09-29
How to Cite
Smeili, L., Kim, E., Marcello, C., Bianqui, L., Martines, J., & Sakai, A. (2011). Bladder rupture causing pseudo acute renal failure. Autopsy and Case Reports, 1(3), 47-52. https://doi.org/10.4322/acr.%y.26067
Section
Article / Clinical Case Report