A case with spontaneous bladder rupture mimicking acute kidney injury.
A 77-year-old female with abdominal pain and ascites was admitted to our hospital. She had a past history of the postoperative pelvic irradiation for uterine cancer and subsequently suffered from neurogenic bladder. On admission, serum creatinine (s-Cr) and blood urea nitrogen (BUN) were elevated to 9.9 mg/dl and 131 mg/dl, respectively. However, both the ratio of BUN/s-Cr and creatinine in ascites/s-Cr were significantly elevated. The clinical manifestations of the present case were not typical for acute kidney injury. Furthermore, 2 days after urethral catheterization, both s-Cr and BUN were normalized (0.69 mg/dl and 10 mg/dl, respectively) and her symptoms had improved immediately. Therefore, we diagnosed her disease as spontaneous bladder rupture. We report a case with spontaneous bladder rupture mimicking acute kidney injury forty years after postoperative pelvic irradiation for uterine cancer.
Horino
T
T
Department of Endocrinology, Kochi Medical School, Kohasu, Okoh-cho, Nankoku, Japan. horinott@ya hoo.co.jp
Okazaki
M
M
Nishikawa
H
H
Takao
T
T
Taniguchi
Y
Y
Morita
T
T
Terada
Y
Y
D058186:Acute Kidney Injury / Q000175:diagnosis*; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010388:Pelvis / Q000528:radiation effects; D012422:Rupture, Spontaneous; D001745:Urinary Bladder Diseases / Q000175:diagnosis*