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Pseudo‐acute kidney injury after minor trauma: A case report and review of literature

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 u...

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Autores principales: Cheung, Diana, de Terwangne, Christophe, Guillen, Miguel‐Ange, Sorgente, Antonio, Ballout, Assma, Jacques, Jean‐Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514145/
https://www.ncbi.nlm.nih.gov/pubmed/34693398
http://dx.doi.org/10.1002/emp2.12564
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author Cheung, Diana
de Terwangne, Christophe
Guillen, Miguel‐Ange
Sorgente, Antonio
Ballout, Assma
Jacques, Jean‐Marie
author_facet Cheung, Diana
de Terwangne, Christophe
Guillen, Miguel‐Ange
Sorgente, Antonio
Ballout, Assma
Jacques, Jean‐Marie
author_sort Cheung, Diana
collection PubMed
description 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.
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spelling pubmed-85141452021-10-21 Pseudo‐acute kidney injury after minor trauma: A case report and review of literature Cheung, Diana de Terwangne, Christophe Guillen, Miguel‐Ange Sorgente, Antonio Ballout, Assma Jacques, Jean‐Marie J Am Coll Emerg Physicians Open Trauma 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. John Wiley and Sons Inc. 2021-10-13 /pmc/articles/PMC8514145/ /pubmed/34693398 http://dx.doi.org/10.1002/emp2.12564 Text en © 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Trauma
Cheung, Diana
de Terwangne, Christophe
Guillen, Miguel‐Ange
Sorgente, Antonio
Ballout, Assma
Jacques, Jean‐Marie
Pseudo‐acute kidney injury after minor trauma: A case report and review of literature
title Pseudo‐acute kidney injury after minor trauma: A case report and review of literature
title_full Pseudo‐acute kidney injury after minor trauma: A case report and review of literature
title_fullStr Pseudo‐acute kidney injury after minor trauma: A case report and review of literature
title_full_unstemmed Pseudo‐acute kidney injury after minor trauma: A case report and review of literature
title_short Pseudo‐acute kidney injury after minor trauma: A case report and review of literature
title_sort pseudo‐acute kidney injury after minor trauma: a case report and review of literature
topic Trauma
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514145/
https://www.ncbi.nlm.nih.gov/pubmed/34693398
http://dx.doi.org/10.1002/emp2.12564
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