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  • Title: Spontaneous rupture of the urinary bladder presenting as oliguric acute renal failure.
    Author: Kato A, Yoshida K, Tsuru N, Ushiyama T, Suzuki K, Ozono S, Hishida A.
    Journal: Intern Med; 2006; 45(13):815-8. PubMed ID: 16880706.
    Abstract:
    A 64-year-old female was admitted to hospital for acute abdominal pain with ascites. The patient had received postoperative pelvic irradiation for carcinoma of the uterine cervix 7 years previously. Serum creatinine (Scr) was elevated to 2.70 mg/dl, and urinary output was reduced to below 200 ml/day. Cystoscopy revealed a small perforation from the bladder diverticulum. Following transurethral catheterization, urinary output was promptly increased, and Scr was returned to 0.65 mg/dl 4 days later. This rare case suggested that spontaneous rupture of the urinary bladder following postoperative radiotherapy could occur very late with laboratory features of oliguric acute renal failure.
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