Goto Shunsuke, Yamadori Mari, Igaki Naoya, Kim John-Il, Fukagawa Masafumi
Division of Nephrology and Kidney Center , Kobe University School of Medicine , Kobe , Japan ; Department of Internal Medicine , Takasago Municipal Hospital , Takasago , Japan.
Division of Nephrology and Kidney Center , Kobe University School of Medicine , Kobe , Japan ; Department of Internal Medicine , Chibune General Hospital , Osaka , Japan.
NDT Plus. 2010 Oct;3(5):474-6. doi: 10.1093/ndtplus/sfq107. Epub 2010 Jun 8.
Ascites, oliguria and increasing serum creatinine levels are often noted in patients with acute kidney injury. However, these presentations are also observed in patients with intraperitoneal urinary leakage. Bladder perforation without obvious trauma is sometimes mistaken for acute kidney injury. We report two cases of bladder perforation resembling acute kidney injury. The first case was a 37-year-old woman with delayed intraperitoneal urinary leakage following total abdominal hysterectomy, and the second was a 70-year-old woman with spontaneous bladder perforation. Although the initial diagnosis in both cases was acute kidney injury, rupture of the urinary bladder was later identified.
急性肾损伤患者常出现腹水、少尿和血清肌酐水平升高。然而，腹膜内尿液渗漏患者也会出现这些表现。无明显创伤的膀胱穿孔有时会被误诊为急性肾损伤。我们报告两例类似急性肾损伤的膀胱穿孔病例。第一例是一名37岁女性，全腹子宫切除术后出现延迟性腹膜内尿液渗漏；第二例是一名70岁女性，发生自发性膀胱穿孔。尽管这两例患者最初均被诊断为急性肾损伤，但后来均确诊为膀胱破裂。
