Pseudo-renal failure following total abdominal hysterectomy.
Intraperitoneal urinary bladder perforation should be in the differential diagnosis of acute oliguric renal failure soon after gynecological surgery. We present a case of reversible acute pseudo-renal failure after total abdominal hysterectomy for uterine fibroid. Biochemical features of uremia occur as a result of intraperitoneal extravasation of urine, which is in turn reabsorbed through the peritoneum. Early recognition and surgical repair, as opposed to dialysis therapy, are warranted in such clinical setting. Nephrologists, who are often the first to encounter those patients with presumably acute renal failure, should be aware of this condition. Prompt recovery of the serum biochemistry is to be expected, in contradistinction to genuine renal failure or kidney insults.
Chow
K M
KM
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, SAR - China. Chow_Kai_Ming@alumni.cuhk.net
Lam
C M
CM
Szeto
C C
CC
D058186:Acute Kidney Injury / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology; D007889:Leiomyoma / Q000601:surgery; D008875:Middle Aged; D012421:Rupture; D001743:Urinary Bladder / Q000293:injuries*; D014594:Uterine Neoplasms / Q000601:surgery