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이혁 ( Hyuk Lee ),한금현 ( Kum Hyun Han ),전준성 ( Joon Seong Jeon ),서정욱 ( Jung Wook Seo ),한상엽 ( Sang Youb Han ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.5
The main feature of acute renal failure is a decline in the glomerular filtration rate. However, urine leakage into the peritoneal cavity due to bladder rupture may cause pseudo-renal failure. This is a situation in which renal function is normal, along with the presence of elevated serum creatinine. A 47-year-old woman presented with abdominal distension and pretibial pitting edema on both lower extremities. She had no traumatic history. She did not complain of abdominal pain, and exhibit neither oliguria nor anuria. Her blood urea nitrogen (BUN) and serum creatinine was 105 and 11.2 mg/dL. Ascites showed that urea nitrogen and creatinine were 160 and 29 mg/dL, respectively. We confirmed bladder rupture by an abdominal CT scan and retrograde cystography. She underwent an emergency laparotomy to repair the ruptured bladder. Azotemia was normalized 2 days after the operation. Here we present a rare case of uremia due to bladder rupture.
김일환,이준호,조인래,전준성,노중석,서정욱,박성혜 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2
Primary carcinoma of the seminal vesicle is a very rare neoplasm that can imitate tumors in adjacent organs including bladder. rectal, and most frequently, prostate carcinoma in its clinical presentation. The case was a 41-year-old man with the chief complaint of terminal gross hematuria. He had a history of chronic prostatitis 7 years ago. Ultrasonogram and CT scan showed the mass in the retrovesical region. MRI demonstrated a seminal vesicle mass and reflux up the left dilated ureter. And on cystoscopy the left ureteral orifice as well as the left half side of the trigone were not detected. The right ureteral orifice was normal. After left nephroureterovesiculectomy and radical prostatectomy was performed. renal dysplasia and a mucinous adenocarcinoma of the seminal vesicle were histopathologically confirmed and treated with adjunctive radiotherapy. After operation erectile dysfunction developed and it was controled with intracavernous injection (Caverject®). The patient is well and free of recurrent disease for 33 months following surgery.