Ascitis y falla renal: no olvidar el uroperitoneo / Ascites and renal failure caused by a bladder fistula: Report of one case
Rev. méd. Chile
;
134(3): 345-347, mar. 2006. ilus
Article
Dans Espagnol
| LILACS
| ID: lil-426102
ABSTRACT
Bladder fistula to open peritoneum is an uncommon cause of ascites. We report a 50 year-old woman with a history of pain in the lower abdomen and slight weight loss. The patient had a history of a repaired bladder perforation 12 years before, during a labor with forceps. The patient had microscopic hematuria and an abdominal CAT scan showed ascites. Serum creatinine was 2.2 mg/dl. An abdominal Doppler ultrasound showed normal portal and suprahepatic veins. Due to the suspicion that ascites accumulation could be urine, a sample was obtained and urea nitrogen and creatinine were measured. Since both levels were high in the ascitic fluid the patients was subjected to a cystoscopy that disclosed a fistula between the bladder and peritoneum. The patient was operated and the fistula excised. The postoperative period was uneventful, and the serum creatinine normalized.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Ascites
/
Fistule vésicale
/
Insuffisance rénale
Type d'étude:
Etude diagnostique
/
Etude d'étiologie
Limites du sujet:
Femelle
/
Humains
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2006
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Pontificia Universidad Católica de Chile/CL
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