J Korean Soc Traumatol.  2016 Dec;29(4):191-194. 10.20408/jti.2016.29.4.191.

Pseudo-renal Failure Caused by Urinary Bladder Rupture in Multiple Trauma Patient

• Jang J
• Lim KH

• KMID: 2378458
• DOI: http://doi.org/10.20408/jti.2016.29.4.191

Abstract

Pseudo-renal failure presents with renal failure characteristics, such as hypercreatininemia and hyperkalemia without a change in glomerular filtration rate or structure of the kidney. Pseudo-renal failure due to trauma is difficult to diagnose, because symptoms are non-specific and other factors may cause hypercreatininemia and hyperkalemia. In a trauma patient, especially one with pelvic injury, the abrupt elevation of potassium, blood urea nitrogen, and creatinine levels without previous medical history is a key feature in the diagnosis of urinary ascites. We report a case of pseudo-renal failure caused by intraperitoneal bladder rupture in a multiple trauma patient.

Keyword

Trauma; Bladder rupture; Pseudo-renal failure; Urinary ascites

MeSH Terms

Ascites
Blood Urea Nitrogen
Creatinine
Diagnosis
Glomerular Filtration Rate
Humans
Hyperkalemia
Kidney
Multiple Trauma*
Potassium
Renal Insufficiency
Rupture*
Urinary Bladder*
Creatinine
Potassium