Submited on: 16 May 2013 04:07:30 AM GMT
Published on: 16 May 2013 05:50:48 AM GMT

The author has claimed that this current presentation is the second case in the literature. But, amany cases have been reported with such clinical presentation.


Infact,any intraperitoneal rupture of the blaader, if not treated properly or treated belatedtly can lead to azotaemia. The elevated serum levels of creatinine is due to the absorption through the peritoneal membrane of creatinine from the urine leaked into the peritoneal cavity.


Ascitis (abdominal distension) and oliguria or anuria also are associated with high creatinine in many cases.


Therefore clinical presentation will be that of acutr kidney injury (ARF).


Cystogram is not totally contraindicated as the absorption of contrast across the bladder is insignificant and moreover the contrast will be drained out or micturated after the procedure,

  • competing interests: no
  • Invited by the author to make a review on this article? :
  • Experience and credentials in the specific area of science:

    A lot of abdominal trauma cases have been seen, imaged and interpreted by me.

    Many bladder rupture cases have been analyzed by me.

  • Publications in the same or a related area of science: No
  • References: None
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