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- Marie A Z Simler, Elsayed Desouky, Fady Zakharious, Mandal Amit K J AKJ Departments of Medicine and Cardiology, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, UK., and Constantinos G Missouris.
- Departments of Medicine and Cardiology, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, UK; Department of Medicine, Mater Dei Hospital, Msida, Malta.
- Ann Emerg Med. 2020 Aug 1; 76 (2): 191-193.
AbstractPseudo-azotemia is the syndrome of hypercreatininemia and hyperkaliemia without a change in glomerular filtration rate or structure of the kidney. A 57-year-old vulnerable woman with learning difficulties experienced an intraperitoneal bladder rupture in the absence of a pelvic fracture after a fall. It is suspected that the blunt force compression of a distended bladder situated above the bony protection of the pelvis resulted in delayed intraperitoneal bladder rupture. Urinary ascites resulted in pseudo-azotemia because of urinary creatinine reabsorption across the peritoneum. This "apparent" renal failure is fully reversible when diagnosis and treatment are prompt, with normalization of abnormal laboratory-investigation results often within 24 hours.Copyright © 2020 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
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