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J Trauma Inj > Volume 29(4); 2016 > Article
Journal of Trauma and Injury 2016;29(4):191-194.
DOI: https://doi.org/10.20408/jti.2016.29.4.191    Published online December 31, 2016.
Pseudo-renal Failure Caused by Urinary Bladder Rupture in Multiple Trauma Patient
Jihoon Jang, Kyoung Hoon Lim
Department of Surgery, Kyungpook National University Hospital, Daegu, Korea. drlimkh@naver.com
Received: 2 December 2016   • Revised: 2 December 2016   • Accepted: 30 December 2016
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.
Key Words: Trauma; Bladder rupture; Pseudo-renal failure; Urinary ascites


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