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Laparoscopy-induced severe renal failure after appendectomy.
Ignacio Aguirre-Allende1, Lander Gallego-Otaegui2, Jose Luis Elosegui-Aguirrezabala1
1Colorectal Surgery Department, University Hospital Donostia, San Sebastian, Spain.
Journal of Surgical Case Reports
|March 27, 2019
Summary
Laparoscopic surgery for appendicitis can rarely cause acute kidney injury (AKI) in young patients. Surgeons should consider this rare complication in postoperative AKI diagnosis.
Area of Science:
- Surgical Innovation
- Nephrology
- Emergency Medicine
Background:
- Laparoscopy is a standard surgical approach for acute appendicitis.
- Acute kidney injury (AKI) is a potential postoperative complication.
Observation:
- A 39-year-old female developed AKI post-laparoscopy for acute appendicitis.
- Prerenal AKI causes like sepsis and dehydration were excluded.
Findings:
- Laparoscopy-induced AKI can result from CO2 pneumoperitoneum.
- Mechanisms include hormonal renal vasoconstriction and hypoxemia.
- Increased intra-abdominal pressure can cause tubular renal injury.
Implications:
- This case highlights a rare cause of AKI in young, healthy patients.
- Surgeons should include laparoscopy-induced AKI in their differential diagnosis.
- Awareness may improve early detection and management of postoperative AKI.
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