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Cardiovascular Business Week

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Catholic University of Sacred Heart, Rome



Inverted peritoneal auto-dialysis mistaken for diabetic nephropathy



April 26th, 2005

Inverted peritoneal auto-dialysis was mistaken for diabetic nephropathy in a middle-aged man.

"We describe a case of 51-year-old male with fever, abdominal pain and inguino-scrotal hernia. Laboratory examination revealed hypercreatininemia and hyperglycemia, firstly interpreted as diabetic nephropathy. Ultrasound and CT scan showed a hernia of the bladder into the scrotum," investigators in Italy report.

"Surgery revealed multiple bladder perforations with peritoneal diffusion of urine," said Raffaele Manna and colleagues at Catholic University of Sacred Heart in Rome. "So, hypercreatininemia was caused by peritoneal reabsorption of urea and...


Source: Cardiovascular Business Week (2005-04-26)

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