| Pseudo-Renal Failure with Severe Hyponatremia due to Spontaneous Bladder Rupture |
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Byung Chul Kim, Tae Hoon Yim, Jee Seon Kim, Hak Ro Kim, Hong Geun Oh, Ho Jun Lee, Young Min Kim |
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Department of Internal Medicine, Pohang Sunlin Hospital, Pohang, Korea |
| 자연 방광파열에 의한 중증 저나트륨혈증을 동반한 가성 신부전 |
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김병철, 임태훈, 김지선, 김학로, 오홍근, 이호준, 김영민 |
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포항 선린병원 내과 |
Correspondence:
Young Min Kim, Tel: +82-54-245-5000, Fax: +82-54-245-5311, Email: ymkim70@gmail.com
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Received: 2 December 2014 • Revised: 6 January 2015 • Accepted: 22 January 2015 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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| Abstract |
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Spontaneous bladder rupture is rare. Such an occurrence may appear similar to renal failure because the resulting urine leakage into the peritoneal cavity and absorption across the peritoneum increases serum creatinine although glomerular filtration rate is normal. A 46-year-old man presented with abdominal distension for 7 days after consuming a large volume of alcohol. Initial laboratory tests showed a blood urea nitrogen level of 174.3 mg/dL, serum creatinine of 11.49 mg/dL, and serum sodium of 105 mmol/L. Abdominal distension resolved after draining 5,200 mL of urine through a bladder catheter. Computed tomography cystography revealed intraperitoneal leakage of contrast dye from the left dome of the bladder, suggesting an intraperitoneal bladder rupture. Azotemia was completely normalized on the third day of hospitalization. This case shows that pseudo-renal failure should be considered when caring for a patient with unexplained azotemia and ascites. |
| Key Words:
Acute renal failure; Hyponatremia; Rupture, Spontaneous; Urinary bladder |
| 주제어:
급성신부전; 저나트륨혈증; 자연파열; 방광 |
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