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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 onset of diabetes mellitus.
- Publication
Clinical nephrology, 2005, Vol 63, Issue 2, p167
- ISSN
0301-0430
- Publication type
Journal Article
- DOI
10.5414/cnp63167