Intraperitoneal Urinary Leak Mimicking Acute Kidney Injury
Author Information
Author(s): Muacevic Alexander, Adler John R, Ahmed Hatem, Mansour Mohamed K, Obeid Hamza
Primary Institution: Phoenixville Hospital - Tower Health Medical Group, Phoenixville, USA; Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE
Hypothesis
Intraperitoneal urinary leaks can mimic acute kidney injury in post-pelvic surgery patients.
Conclusion
Intraperitoneal urinary leaks should be considered in post-pelvic surgery patients with unexplained serum creatinine elevations to avoid significant morbidity.
Supporting Evidence
- The patient initially misdiagnosed with a urinary tract infection later presented with elevated creatinine.
- An abdominal MRI revealed a fluid collection behind the bladder, indicative of a urinoma.
- Foley catheter placement led to significant improvement in symptoms and renal function.
Takeaway
Sometimes, after surgery, a leak can happen that makes it look like your kidneys are not working well, but it's actually just urine leaking into the belly.
Methodology
Case report of a male patient with elevated creatinine after prostatectomy, diagnosed with an intraperitoneal urinary leak.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
65-year-old male with a history of polycystic kidney disease and prostate cancer.
Digital Object Identifier (DOI)
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