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- Title
Hypercreatininemia and hyperglycemia: diabetic nephropathy or "inverted peritoneal auto-dialysis"?
- Authors
Manna, R.; Mirk, P.; Sallustio, G.; Brisinda, G.; Izzi, D.; La Regina, M.; Nucera, G.; Maria, G.; Montalto, M.; Ghirlanda, G.
- Abstract
We describe a case of 51-year-old male with fever, abdominal pain and inguino-scrotal hernia. Laboratory examination revealed hypercreatininemia and hyperglycemia, firstly interpreted as diabetic nephropathy. US and CT scan showed a hernia of the bladder into the scrotum. Surgery revealed multiple bladder perforations with peritoneal diffusion of urine. So, hypercreatininemia was caused by peritoneal reabsorption of urea and creatinine, a condition that may be described as ‘inverted peritoneal auto-dialysis’. Surgical reposition and repairment of the bladder led to rapid normalization of serum urea and creatinine. Discharged diagnosis was intraperitoneal rupture of inguino-scrotal hernia of the bladder in patient with recent on set of diabetes mellitus.
- Subjects
BLADDER abnormalities; ABDOMINAL pain; HERNIA; ABDOMINAL diseases; DIABETIC nephropathies; DIABETES complications; KIDNEY diseases; NEPHROLOGY
- Publication
Clinical Nephrology, 2005, Vol 63, Issue 2, p167
- ISSN
0301-0430
- Publication type
Article
- DOI
10.5414/CNP63167