title: Spontaneous rupture of the urinary bladder presenting as oliguric acute renal failure.
abstract: A 64-year-old female was admitted to hospital for acute abdominal pain with ascites. The patient had received postoperative pelvic irradiation for carcinoma of the uterine cervix 7 years previously. Serum creatinine (Scr) was elevated to 2.70 mg/dl, and urinary output was reduced to below 200 ml/day. Cystoscopy revealed a small perforation from the bladder diverticulum. Following transurethral catheterization, urinary output was promptly increased, and Scr was returned to 0.65 mg/dl 4 days later. This rare case suggested that spontaneous rupture of the urinary bladder following postoperative radiotherapy could occur very late with laboratory features of oliguric acute renal failure.
authors.affiliation: Division of Blood Purification, cUniversity School of Medicine, Shizuoka.
authors.forename: Akihiko
authors.initials: A
authors.lastname: Kato
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Yoshida
authors.forename: Nobuo
authors.initials: N
authors.lastname: Tsuru
authors.forename: Tomomi
authors.initials: T
authors.lastname: Ushiyama
authors.forename: Kazuo
authors.initials: K
authors.lastname: Suzuki
authors.forename: Seiichiro
authors.initials: S
authors.lastname: Ozono
authors.forename: Akira
authors.initials: A
authors.lastname: Hishida
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D058186:Acute Kidney Injury / Q000209:etiology*; D001201:Ascites / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009846:Oliguria / Q000209:etiology*; D011832:Radiation Injuries / Q000150:complications; D011878:Radiotherapy / Q000009:adverse effects; D012422:Rupture, Spontaneous / Q000209:etiology; D001743:Urinary Bladder / Q000528:radiation effects*; D001745:Urinary Bladder Diseases / Q000209:etiology*