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Pseudomyxoma peritonei: a rare cause of oliguric acute kidney injury
Hye Sook Min1, Jeung Hui Pyo, Eul Sun Moon
1Department of Internal Medicine, Korea University Ansan Hospital, Koea University College of Medicine, Ansan, Korea.
Abstract:
Pseudomyxoma peritonei is a rare clinical condition that causes the accumulation of mucinous ascites, which gradually results in the compression of intra-abdominal organs. Most published reports of pseudomyxoma peritonei concern the mass effect of the resulting ascites, which presents as abdominal pain or intestinal ileus in severe cases. However, few reports of renal complications of the disease have been published. Here, we present a case of oliguric acute kidney injury caused by external compression by pseudomyxoma peritonei. After decompression with external drainage, the patient's renal function rapidly improved.
Insights
Pseudomyxoma peritonei can cause acute kidney injury due to abdominal fluid compression. Prompt drainage relieved the kidney dysfunction in this rare case.
Area of Science:
- Nephrology
- Gastroenterology
- Oncology
Background:
- Pseudomyxoma peritonei is a rare condition characterized by mucinous ascites accumulation.
- This typically leads to intra-abdominal organ compression, causing symptoms like abdominal pain or ileus.
- Renal complications are infrequently reported in pseudomyxoma peritonei cases.
Observation:
- A case of pseudomyxoma peritonei presenting with oliguric acute kidney injury is described.
- The kidney injury was attributed to external compression by the mucinous ascites.
- The patient experienced a rapid improvement in renal function post-decompression.
Findings:
- External compression from pseudomyxoma peritonei can precipitate acute kidney injury.
- Oliguric acute kidney injury in this context is reversible with prompt intervention.
- Decompression via external drainage effectively restored renal function.
Implications:
- Highlights the potential for renal complications in pseudomyxoma peritonei.
- Emphasizes the importance of considering kidney function in patients with this condition.
- Suggests that timely decompression is crucial for managing renal dysfunction in pseudomyxoma peritonei.
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