PMID- 19863882
OWN - NLM
STAT- MEDLINE
DCOM- 20100113
LR  - 20101118
IS  - 0301-0430 (Print)
IS  - 0301-0430 (Linking)
VI  - 72
IP  - 5
DP  - 2009 Nov
TI  - A case with spontaneous bladder rupture mimicking acute kidney injury.
PG  - 391-3
AB  - A 77-year-old female with abdominal pain and ascites was admitted to our 
      hospital. She had a past history of the postoperative pelvic irradiation for 
      uterine cancer and subsequently suffered from neurogenic bladder. On admission, 
      serum creatinine (s-Cr) and blood urea nitrogen (BUN) were elevated to 9.9 mg/dl 
      and 131 mg/dl, respectively. However, both the ratio of BUN/s-Cr and creatinine 
      in ascites/s-Cr were significantly elevated. The clinical manifestations of the 
      present case were not typical for acute kidney injury. Furthermore, 2 days after 
      urethral catheterization, both s-Cr and BUN were normalized (0.69 mg/dl and 10 
      mg/dl, respectively) and her symptoms had improved immediately. Therefore, we 
      diagnosed her disease as spontaneous bladder rupture. We report a case with 
      spontaneous bladder rupture mimicking acute kidney injury forty years after 
      postoperative pelvic irradiation for uterine cancer.
FAU - Horino, T
AU  - Horino T
AD  - Department of Endocrinology, Kochi Medical School, Kohasu, Okoh-cho, Nankoku, 
      Japan. horinott@ya hoo.co.jp
FAU - Okazaki, M
AU  - Okazaki M
FAU - Nishikawa, H
AU  - Nishikawa H
FAU - Takao, T
AU  - Takao T
FAU - Taniguchi, Y
AU  - Taniguchi Y
FAU - Morita, T
AU  - Morita T
FAU - Terada, Y
AU  - Terada Y
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Germany
TA  - Clin Nephrol
JT  - Clinical nephrology
JID - 0364441
SB  - IM
MH  - Acute Kidney Injury/*diagnosis
MH  - Aged
MH  - Diagnosis, Differential
MH  - Female
MH  - Humans
MH  - Pelvis/radiation effects
MH  - Rupture, Spontaneous
MH  - Urinary Bladder Diseases/*diagnosis
EDAT- 2009/10/30 06:00
MHDA- 2010/01/14 06:00
CRDT- 2009/10/30 06:00
PHST- 2009/10/30 06:00 [entrez]
PHST- 2009/10/30 06:00 [pubmed]
PHST- 2010/01/14 06:00 [medline]
AID - 6743 [pii]
PST - ppublish
SO  - Clin Nephrol. 2009 Nov;72(5):391-3.