Bladder rupture causing pseudo acute renal failure

Abstract

Bladder rupture is a rare condition associated with significant morbidity and mortality. It is classified into traumatic, nontraumatic or idiopathic and spontaneous. The nonspecific initial clinical presentation is followed by discomfort in the lower abdomen, oliguria, hematuria and ascitis. Laboratory abnormalities simulate the picture of acute renal failure and occurs by a mechanism called auto reverse dialysis, with absorption of excreta through the peritoneal membrane. The authors describe a case of bladder rupture in morphologically and functionally normal urinary bladder associated with alcohol intake in young healthy man, manifested by abdominal discomfort, pseudo renal failure and massive ascitis. The diagnosis was made by an abdominal multidetector computed tomography confirmed by the finding of 7 cm laceration at laparotomy.