Ascitis y falla renal: no olvidar el uroperitoneo

Bladder fistula to open peritoneum is an uncommon cause of ascites. We report a 50 year-old woman with a history of pain in the lower abdomen and slight weight loss. The patient had a history of a repaired bladder perforation 12 years before, during a labor with forceps. The patient had microscopic...

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Autores principales:	Eymin L,Gonzalo, Trucco B,Cristián, Andresen H,Max
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2006
Materias:	Ascites Bladder fistula Cystoscop
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300012
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spelling	oai:scielo:S0034-988720060003000122006-05-02Ascitis y falla renal: no olvidar el uroperitoneoEymin L,GonzaloTrucco B,CristiánAndresen H,Max Ascites Bladder fistula Cystoscop Bladder fistula to open peritoneum is an uncommon cause of ascites. We report a 50 year-old woman with a history of pain in the lower abdomen and slight weight loss. The patient had a history of a repaired bladder perforation 12 years before, during a labor with forceps. The patient had microscopic hematuria and an abdominal CAT scan showed ascites. Serum creatinine was 2.2 mg/dl. An abdominal Doppler ultrasound showed normal portal and suprahepatic veins. Due to the suspicion that ascites accumulation could be urine, a sample was obtained and urea nitrogen and creatinine were measured. Since both levels were high in the ascitic fluid the patients was subjected to a cystoscopy that disclosed a fistula between the bladder and peritoneum. The patient was operated and the fistula excised. The postoperative period was uneventful, and the serum creatinine normalizedinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.3 20062006-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300012es10.4067/S0034-98872006000300012
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Ascites Bladder fistula Cystoscop
spellingShingle	Ascites Bladder fistula Cystoscop Eymin L,Gonzalo Trucco B,Cristián Andresen H,Max Ascitis y falla renal: no olvidar el uroperitoneo
description	Bladder fistula to open peritoneum is an uncommon cause of ascites. We report a 50 year-old woman with a history of pain in the lower abdomen and slight weight loss. The patient had a history of a repaired bladder perforation 12 years before, during a labor with forceps. The patient had microscopic hematuria and an abdominal CAT scan showed ascites. Serum creatinine was 2.2 mg/dl. An abdominal Doppler ultrasound showed normal portal and suprahepatic veins. Due to the suspicion that ascites accumulation could be urine, a sample was obtained and urea nitrogen and creatinine were measured. Since both levels were high in the ascitic fluid the patients was subjected to a cystoscopy that disclosed a fistula between the bladder and peritoneum. The patient was operated and the fistula excised. The postoperative period was uneventful, and the serum creatinine normalized
author	Eymin L,Gonzalo Trucco B,Cristián Andresen H,Max
author_facet	Eymin L,Gonzalo Trucco B,Cristián Andresen H,Max
author_sort	Eymin L,Gonzalo
title	Ascitis y falla renal: no olvidar el uroperitoneo
title_short	Ascitis y falla renal: no olvidar el uroperitoneo
title_full	Ascitis y falla renal: no olvidar el uroperitoneo
title_fullStr	Ascitis y falla renal: no olvidar el uroperitoneo
title_full_unstemmed	Ascitis y falla renal: no olvidar el uroperitoneo
title_sort	ascitis y falla renal: no olvidar el uroperitoneo
publisher	Sociedad Médica de Santiago
publishDate	2006
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000300012
work_keys_str_mv	AT eyminlgonzalo ascitisyfallarenalnoolvidareluroperitoneo AT truccobcristian ascitisyfallarenalnoolvidareluroperitoneo AT andresenhmax ascitisyfallarenalnoolvidareluroperitoneo
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Ascitis y falla renal: no olvidar el uroperitoneo

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