Too bad to be true: pseudo-AKI due to traumatic bladder rupture.

Marco Ruggeri, Costanza Martino, Antonio Giudicissi, Sara Signorotti, Giovanni Mosconi

Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia 2021 Dec 16

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Acute Kidney Injury (AKI) is described as a rapid decline in Glomerular Filtration Rate (GFR), reflected by an increase in serum creatinine (SCr) and/or contraction of diuresis. The traditional paradigm considers pre-renal, renal and post-renal causes of AKI. However, there are some settings in which an elevated SCr does not reflect a real decline in GFR. Here we describe the case of a pseudo-AKI, consequence of a massive intraperitoneal urinary leakage due to a traumatic bladder rupture. Besides the pathophysiological considerations, we want to raise awareness about this condition, especially in relation to patients presenting with oliguria, hematuria, apparent AKI, abdominal pain and ascites, particularly after trauma; we do this not only to prevent late diagnosis complications, but also to avoid costly and risky overtreatment. Copyright by Società Italiana di Nefrologia SIN, Rome, Italy.

Citation

Marco Ruggeri, Costanza Martino, Antonio Giudicissi, Sara Signorotti, Giovanni Mosconi. Too bad to be true: pseudo-AKI due to traumatic bladder rupture. Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia. 2021 Dec 16;38(6)