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Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

EYMIN L, Gonzalo; TRUCCO B, Cristián  y  ANDRESEN H, Max. Ascites and renal failure caused by a bladder fistula: Report of one case. Rev. méd. Chile [online]. 2006, vol.134, n.3, pp.345-347. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872006000300012.

Bladder fistula to open peritoneum is an uncommon cause of ascites. We report a 50 year-old woman with a history of pain in the lower abdomen and slight weight loss. The patient had a history of a repaired bladder perforation 12 years before, during a labor with forceps. The patient had microscopic hematuria and an abdominal CAT scan showed ascites. Serum creatinine was 2.2 mg/dl. An abdominal Doppler ultrasound showed normal portal and suprahepatic veins. Due to the suspicion that ascites accumulation could be urine, a sample was obtained and urea nitrogen and creatinine were measured. Since both levels were high in the ascitic fluid the patients was subjected to a cystoscopy that disclosed a fistula between the bladder and peritoneum. The patient was operated and the fistula excised. The postoperative period was uneventful, and the serum creatinine normalized

Palabras clave : Ascites; Bladder fistula; Cystoscop.

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