title: Severe peri-renal sepsis in established renal failure masquerading as an acute abdominal catastrophe.
abstract: Severe worsening lactic acidosis in an elderly patient following an episode of atrial fibrillation, who is not haemodynamically compromised, usually indicates an intra-abdominal vascular catastrophe. We describe a unique case of severe peri-renal sepsis in a patient with long-standing dialysis-dependent chronic kidney disease unrelated to urolithiasis that masqueraded as an acute abdominal condition requiring emergency laparotomy and nephrectomy.
authors.affiliation: Department of Surgery , City Hospital Campus, Nottingham University Hospitals , Nottingham NG5 1PB , UK.
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Tincknell
authors.affiliation: Department of Surgery , City Hospital Campus, Nottingham University Hospitals , Nottingham NG5 1PB , UK.
authors.forename: Keith M
authors.initials: KM
authors.lastname: Rigg
authors.affiliation: Department of Nephrology , Nottingham City Hospital , Nottingham NG5 1PB , UK.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Bebb
authors.affiliation: Department of Surgery , City Hospital Campus, Nottingham University Hospitals , Nottingham NG5 1PB , UK.
authors.forename: Shantanu
authors.initials: S
authors.lastname: Bhattacharjya
keywords: acute abdominal catastrophe; chronic kidney disease; peri-renal sepsis