Cheung Diana, de Terwangne Christophe, Guillen Miguel-Ange, Sorgente Antonio, Ballout Assma, Jacques Jean-Marie
Department of Emergency Medicine Epicura Centre Hospitalier Brussels Belgium.
Department of Internal Medicine Epicura Centre Hospitalier Brussels Belgium.
J Am Coll Emerg Physicians Open. 2021 Oct 13;2(5):e12564. doi: 10.1002/emp2.12564. eCollection 2021 Oct.
Acute kidney injury (AKI), a common diagnosis in the emergency department, is defined as a reduction in renal filtration function, with decrease in urine output, increase in serum creatinine, or both. However, a rise in serum creatinine can occur without AKI: the principal cause of a pseudo-AKI is urinary ascites, caused by urinary tract rupture, followed by reverse intraperitoneal dialysis and resorption of creatinine. The intraperitoneal leak of free urine is mainly traumatic, and half of the cases are iatrogenic. A case of intraperitoneal bladder rupture after minor trauma is presented with a review of the pathology of pseudo-AKI.
急性肾损伤(AKI)是急诊科的常见诊断,定义为肾滤过功能降低,伴有尿量减少、血清肌酐升高或两者兼有。然而,血清肌酐升高也可能并非由AKI引起:假性AKI的主要原因是尿路破裂导致的尿腹水,其次是腹膜透析逆流和肌酐重吸收。游离尿液的腹膜内渗漏主要是创伤性的,其中一半病例是医源性的。本文报告一例轻微创伤后腹膜内膀胱破裂病例,并对假性AKI的病理进行综述。