scholarly journals Pseudorenal Failure Secondary to Reversed Intraperitoneal Autodialysis

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Pieter Martens
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Serum Creatinine ◽  
Creatinine Level ◽  
Blood Urea Nitrogen ◽  
Laparoscopic Appendectomy ◽  
Creatinine Ratio ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Plasma Creatinine Level

A 16-year-old boy was admitted for anuria, ascites, and abdominal pain. The patient had undergone a laparoscopic appendectomy two days prior to admission. Initial laboratory analysis revealed a plasma creatinine level of 5,07 mg/dL and blood urea nitrogen level of 75 mg/dL. Computed tomography imaging revealed diffuse abdominal ascites with normal kidneys without signs of hydronephrosis. Laprascopic revision found a 3 mm bladder tear and yielded an aspirate of 1,8 litre abdominal fluid. The abdominal fluid exhibited a fluid : serum creatinine ratio exceeding 1, indicating uroperitoneum. This case underscores the importance of bladder ruptures causing uroperitoneum presenting with azotemia.

Incidental Diagnosis of Pseudomyxoma Peritonei After Emergent Splenectomy

2020 ◽  
pp. 000313482095482
Author(s):  
Alexandra C. Ferre ◽  
Matthew Burstein ◽  
Kevin M. El-Hayek
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Pseudomyxoma Peritonei ◽  
Exploratory Laparotomy ◽  
Histological Evaluation ◽  
Splenic Trauma ◽  
Computed Tomography Imaging ◽  
Moderate Amount ◽  
Tomography Imaging ◽  
Unexpected Findings

Pseudomyxoma peritonei (PMP) is a rare disease associated with mucinous ascites. Pseudomyxoma peritonei has a low incidence and is difficult to diagnose. Pseudomyxoma peritonei usually presents with vague abdominal pain after significant progression. Computed tomography imaging is the most common modality for diagnosis; however, diagnosis as a result of surgical intervention in cases of acute abdomen has become increasingly common. We present a unique case of a 66-year-old man who was incidentally diagnosed with PMP after undergoing an emergent splenectomy for presumed blunt trauma. The patient presented to the emergency room with abdominal pain, shortness of breath, and diaphoresis. Computed tomography imaging revealed a splenic hematoma with suspicion of extravasation and a moderate amount of free intraperitoneal fluid consistent with blood. The patient was taken to the operating room emergently for an emergent splenectomy where splenic laceration was noted, as were multiple areas of nodularity in the omentum and cecum. Histologic evaluation of these lesions led to the diagnosis of PMP. After recovery from his initial splenectomy, the patient underwent exploratory laparotomy, cytoreductive surgery, cholecystectomy, removal of appendiceal mucocele, and hyperthermic intraperitoneal chemotherapy without complication. Final pathology was consistent with PMP and primary mucinous appendiceal adenocarcinoma. This case highlights an unusual presentation of PMP for a patient who was undergoing surgery for presumed splenic trauma. Surgeons must maintain a high index of suspicion and should perform histological evaluation when such unexpected findings are encountered.

Patient dose from kilovoltage cone beam computed tomography imaging in radiation therapy

2006 ◽  
Vol 33 (6Part1) ◽  
pp. 1573-1582 ◽  
Author(s):  
Mohammad K. Islam ◽  
Thomas G. Purdie ◽  
Bernhard D. Norrlinger ◽  
Hamideh Alasti ◽  
Douglas J. Moseley ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Radiation Therapy ◽  
Cone Beam Computed Tomography ◽  
Patient Dose ◽  
Cone Beam ◽  
Computed Tomography Imaging ◽  
Tomography Imaging
Sign in / Sign up

Export Citation Format

Share Document