Impaired renal function due to raised intraabdominal pressure.
A 19-year-old male developed renal failure after a laparotomy for liver trauma (urinary output of 30 ml/h, plasma creatinine 220 mumol/l). Surgical decompression of the abdomen was performed without any attempt at correcting the underlying pathology. This reduced the intraabdominal pressure (IAP) from 40 to 24 cm H2O and resulted in a massive diuresis (530 ml/h). Twenty-four hours later the plasma creatinine peaked at 280 mumol/l and then returned to within the normal range. This case report confirms that there is a direct relationship between IAP and renal function.
University Department of Surgery, Royal Perth Hospital, Western Australia.
C
C
Platell
J
J
Hall
G
G
Dobb
D058186:Acute Kidney Injury / Q000097:blood / Q000209:etiology* / Q000652:urine; D000328:Adult; D003404:Creatinine / Q000097:blood / Q000652:urine; D006470:Hemorrhage / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D008107:Liver Diseases / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery*; D011312:Pressure; D012086:Reoperation
D003404:Creatinine