title: [Ascites and renal failure caused by a bladder fistula: report of one case].
abstract: Bladder fistula to open peritoneum is an uncommon cause of ascites. We report a 50 year-old woman with a history of pain in the lower abdomen and slight weight loss. The patient had a history of a repaired bladder perforation 12 years before, during a labor with forceps. The patient had microscopic hematuria and an abdominal CAT scan showed ascites. Serum creatinine was 2.2 mg/dl. An abdominal Doppler ultrasound showed normal portal and suprahepatic veins. Due to the suspicion that ascites accumulation could be urine, a sample was obtained and urea nitrogen and creatinine were measured. Since both levels were high in the ascitic fluid the patients was subjected to a cystoscopy that disclosed a fistula between the bladder and peritoneum. The patient was operated and the fistula excised. The postoperative period was uneventful, and the serum creatinine normalized.
authors: Departamento de Medicina Interna, Hospital Clínico, Facultad de Medicina, Pontificia Universidad Católica de ChileSantiago, Chile.
authors: Gonzalo
authors: G
authors: Eymin L
authors: Cristián
authors: C
authors: Trucco B
authors: Max
authors: M
authors: Andresen H