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Massive gastric dilatation and anuria resolved with naso-gastric tube decompression.

Abstract
We report for the first time a case of acute kidney injury associated with severe gastric distention after a laparoscopic Nissen-Rossetti fundoplication of the stomach for hiatal hernia. An abdominal compartment syndrome secondary to intra-abdominal hypertension was suspected. Naso-gastric tube decompression resulted in immediate resaturation of the diuresis and progressive recovery of renal function.
AuthorsRamón Peces, Cristina Vega, Carlos Peces, Julio Trébol, Juan A González
JournalInternational urology and nephrology (Int Urol Nephrol) Vol. 42 Issue 3 Pg. 831-4 (Sep 2010) ISSN: 1573-2584 [Electronic] Netherlands
PMID20041295 (Publication Type: Case Reports, Journal Article)
Topics
  • Abdomen
  • Acute Kidney Injury (etiology)
  • Aged
  • Anuria (etiology, therapy)
  • Compartment Syndromes (etiology, therapy)
  • Decompression
  • Female
  • Fundoplication
  • Gastric Dilatation (etiology, therapy)
  • Hernia, Hiatal (complications, surgery)
  • Humans
  • Intubation, Gastrointestinal
  • Laparoscopy (adverse effects)
  • Obesity (complications)

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