title: Urinary ascites following total abdominal hysterectomy.
abstract: Intraperitoneal urinary bladder perforation should be in differential diagnosis of acute renal failure soon after gynecological surgery. We present a case of massive urinary ascites and acute renal failure in a patient who presented 1 week after a total abdominal hysterectomy for simple endometrial hyperplasia. Biochemical features of uremia occur as a result of intraperitoneal extravasation of urine from urinary bladder and reabsorbtion through the peritoneum. Since those were the doctors who first diagnosed the patient, nephrologists performed dialysis therapy. After that long interval urinary catheterization of the patient had been applied. Without surgical repair and with long interval uretral catheterization primary dramatic resolution was seen as we expected. Nephrologists and gynecologists should be aware of this condition since pseudorenal failure which may resolve without dialysis might be seen due to intraperitoneal uinary bladder rupture following gynecological operations.
authors.affiliation: Department of 3rd Obstetrics and Gynecology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Yetimalar
authors.forename: Burcu
authors.initials: B
authors.lastname: Kasap
authors.forename: Aşkin
authors.initials: A
authors.lastname: Yildiz
authors.forename: Külal
authors.initials: K
authors.lastname: Cukurova
authors.forename: Aslan
authors.initials: A
authors.lastname: Yildirim
authors.forename: Hülya
authors.initials: H
authors.lastname: Yildirim
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D001201:Ascites / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004714:Endometrial Hyperplasia / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D008875:Middle Aged; D006435:Renal Dialysis; D014511:Uremia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014546:Urinary Catheterization