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.

Chonnam Medical Journal
|September 7, 2013
PubMed

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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