Uroperitoneo como causa de ascitis recurrente. Una etiología que no debe ser olvidada

Autores/as

DOI:

https://doi.org/10.22516/25007440.931

Palabras clave:

Ascitis, Lesión renal aguda, Uroperitoneo

Resumen

La ascitis es una condición frecuente con una etiología variable; dentro de esta, el uroperitoneo es una causa infrecuente con un cuadro clínico inespecífico y de difícil diagnóstico que requiere una aproximación minuciosa y una alta sospecha clínica para un adecuado enfoque. Para su correcto diagnóstico, juega un papel fundamental la medición de creatinina en el líquido peritoneal, en el suero y su gradiente. Presentamos el caso de un paciente con ascitis recurrente y elevación fluctuante de azoados que fue diagnosticado con uroperitoneo luego de una aproximación juiciosa. La evolución fue apropiada luego de la intervención quirúrgica sin nuevas recurrencias.

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Biografía del autor/a

Simón Hoyos-Patiño, MD, Universidad Pontificia Bolivariana

Médico, Residente Medicina Interna. Medellín, Colombia.

Alejandra Galeano-Mesa, MD, Clínica Universitaria Bolivariana

Médico especialista en medicina interna. Médica Internista y docente auxiliar universitaria. Medellín, Colombia.

Alejandro Arango-Martínez, Universidad Pontificia Bolivariana

Estudiante de Medicina. Medellín, Colombia.

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Figura 1. Cistografía miccional. Archivo de los autores

Publicado

2023-06-22

Cómo citar

Hoyos-Patiño, S., Galeano Mesa, A., & Arango Martínez, A. (2023). Uroperitoneo como causa de ascitis recurrente. Una etiología que no debe ser olvidada. Revista Colombiana De Gastroenterología, 38(2), 211–216. https://doi.org/10.22516/25007440.931

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