Open AccessUrinary ascites
Author(s) -
K Abirami,
G. Sivaramakrishna,
AY Lakshmi,
V. Sivakumar
Publication year - 2012
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.97140
Subject(s) - ascites , medicine , cystography , creatinine , ascitic fluid , urinary system , bladder rupture , abdominal pain , urinary bladder , urology , gastroenterology , pathology
A middle-aged male presented with abdominal pain and ascites following a fall in alcoholic intoxicated state. Evaluation revealed microscopic hematuria and severe renal failure. Ascitic fluid analysis showed high urea and creatinine values suggesting it to be a urinary ascites. Retrograde cystography confirmed intraperitoneal bladder rupture. Following continuous bladder drainage ascites subsided and serum creatinine has reduced to 3 mg/dL. This case report highlights the importance of ascitic fluid analysis as a pointer to diagnose urinary ascites secondary to intraperitoneal bladder rupture.