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      Abdominal Pain, Hyperkalemia, and Elevated Creatinine after Blunt Trauma: Bladder Rupture and Pseudo–Acute-Kidney-Injury.

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      Canadian Journal of General Internal Medicine
      Dougmar Publishing Group, Inc.

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          Abstract

          A 40-year-old man involved in trauma presented with abdominal pain and ascites. He was referred to nephrology for elevated creatinine and hyperkalemia. Initial imaging showed diffuse free fluid in the abdomen and pelvis without solid organ injury. Paracentesis drained 1.5L of yellow fluid notable for a creatinine of 2259 μmol/L. Intraperitoneal urinary bladder rupture was diagnosed and surgically repaired. Within 24 hours, creatinine had normalized consistent with a presentation of pseudo-acute-kidney-injury. This case and a literature review reveals that this condition is often delayed in diagnosis or misdiagnosed altogether. 

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          Author and article information

          Journal
          Canadian Journal of General Internal Medicine
          Can Journ Gen Int Med
          Dougmar Publishing Group, Inc.
          2369-1778
          1911-1606
          June 25 2018
          June 25 2018
          : 13
          : 2
          Article
          10.22374/cjgim.v13i2.229
          d79bf3e3-acea-46dc-8b7b-c9d2997c5207
          © 2018

          Copyright of articles published in all DPG titles is retained by the author. The author grants DPG the rights to publish the article and identify itself as the original publisher. The author grants DPG exclusive commercial rights to the article. The author grants any non-commercial third party the rights to use the article freely provided original author(s) and citation details are cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/


          General medicine,Geriatric medicine,Neurology,Internal medicine
          General medicine, Geriatric medicine, Neurology, Internal medicine

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