Massive gastric dilatation and anuria resolved with naso-gastric tube decompression.
We report for the first time a case of acute kidney injury associated with severe gastric distention after a laparoscopic Nissen-Rossetti fundoplication of the stomach for hiatal hernia. An abdominal compartment syndrome secondary to intra-abdominal hypertension was suspected. Naso-gastric tube decompression resulted in immediate resaturation of the diuresis and progressive recovery of renal function.
Peces
Ramón
R
Servicio de Nefrología, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain. cpeces@varnetmail.com
Vega
Cristina
C
Peces
Carlos
C
Trébol
Julio
J
González
Juan A
JA
D000005:Abdomen; D058186:Acute Kidney Injury / Q000209:etiology; D000368:Aged; D001002:Anuria / Q000209:etiology / Q000628:therapy*; D003161:Compartment Syndromes / Q000209:etiology / Q000628:therapy; D003664:Decompression; D005260:Female; D018662:Fundoplication; D013271:Gastric Dilatation / Q000209:etiology / Q000628:therapy*; D006551:Hernia, Hiatal / Q000150:complications / Q000601:surgery*; D006801:Humans; D007441:Intubation, Gastrointestinal; D010535:Laparoscopy / Q000009:adverse effects*; D009765:Obesity / Q000150:complications