Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Pseudo-renal Failure Caused by Urinary Bladder Rupture in Multiple Trauma Patient

  • Jang, Jihoon (Department of Surgery, Kyungpook National University Hospital) ;
  • Lim, Kyoung Hoon (Department of Surgery, Kyungpook National University Hospital)
  • Received : 2016.12.02
  • Accepted : 2016.12.30
  • Published : 2016.12.31
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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.

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References

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