Spontaneous rupture of the urinary bladder presenting as oliguric acute renal failure.
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.
Kato
Akihiko
A
Division of Blood Purification, cUniversity School of Medicine, Shizuoka.
Yoshida
Ken-ichi
K
Tsuru
Nobuo
N
Ushiyama
Tomomi
T
Suzuki
Kazuo
K
Ozono
Seiichiro
S
Hishida
Akira
A
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*