Document Detail


Reversal of postoperative anuria by decompressive celiotomy.
MedLine Citation:
PMID:  3156569     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Postoperative oliguria or anuria can rarely be attributed to an increase in intra-abdominal pressure. In this documented case, postoperative anuria responded to reduction in abdominal pressure by celiotomy. Actual abdominal pressure measurements are not available but probably would not be useful. However, hemodynamic measurements that were not consistent with diminished renal blood flow in a middle-aged patient were nevertheless associated with anuria, which responded to release of the abdominal pressure. Because of the association of regional pressure and acute renal decompensation, release of abdominal tension should be considered as a therapeutic option when hemodynamic measurements cannot explain a rapid decline in urine production.
Authors:
J H Smith; R C Merrell; T A Raffin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  145     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1985 Mar 
Date Detail:
Created Date:  1985-04-09     Completed Date:  1985-04-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  553-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abdominal Muscles / surgery*
Anuria / etiology,  surgery*
Female
Humans
Kidney Failure, Acute / etiology
Middle Aged
Obesity / complications*
Postoperative Complications
Pressure / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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