Research Paper | Medicine Science | India | Volume 8 Issue 12, December 2019
A Case of Reverse Dialysis
Purushottam Chaudhari, T Murari, S Tripathy
A 28 yrs old lady underwent diagnostic laparoscopy as a part of evaluation for primary infertility. A midline cystic lesion was incidentally detected in the anterior abdominal wall. Post-op, patient developed abdominal distension, nausea and vomiting. Lab parameters showed elevated serum urea and creatinine. USG showed minimal ascites with normal kidney size and parenchyma. Ascitic fluid analysis revealed raised peritoneal fluid urea & creatinine levels than serum levels with peritoneal fluid - serum creatinine ratio of 3.9. CT cystography revealed extravasation of dye suggestive of urinary leak causing urinary ascites. She was diagnosed as intra op bladder rupture causing reverse dialysis resulting into pseudo-renal failure. Post laparoscopic repair, patient improved with normalisation of renal parameters. This case report aims to increase awareness of urinary ascites with any unexplained azotemia in the back ground of genitourinary surgical procedure.
Keywords: Reverse Dialysis, Urinary Ascites, Pseudo Renal Failure, Bladder rupture
Edition: Volume 8 Issue 12, December 2019
Pages: 924 - 926
How to Cite this Article?
Purushottam Chaudhari, T Murari, S Tripathy, "A Case of Reverse Dialysis", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=ART20202968, Volume 8 Issue 12, December 2019, 924 - 926
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