RESUMEN
Acute renal failure is a serious complication after open heart surgery which involve total body perfusion but the reported incidence of the complication has varied widely. We have experienced a case of acute renal failure with hemoglobinuria following an open heart surgery for correction of ventricular septal depect, which was comfirmed by cardiac catheterization. Kidney biopsy shows a typical change of acute tubular necrosis. A brief review of literature was also presented.
Asunto(s)
Lesión Renal Aguda , Biopsia , Cateterismo Cardíaco , Catéteres Cardíacos , Corazón , Hemoglobinuria , Incidencia , Riñón , Necrosis , Perfusión , Cirugía TorácicaRESUMEN
A 9 years old girl has been admitted to hospital because of 5 days history of gross hem aturia. Physical examination on admission, She was eassentially normal except enlarged tonsils. Hb, Hct, WBC and Platelets were also nornal, ESR was 5mm/Hr. ASO titer was less than 1:60, C3 was 58mg%(normal:43-200mg%), BUN 11mg%, Creatinine 0.8mg% Serum cholesterol 160mg%, Total Protein 7.1mg% with albumin 4.9mg%, 24 hours urine protein 209mg and creatinine clearance 84ml/min/1.7m2. PT and PTT were also within normal range. Throat and urine cultures revealed no microorganisms. Excretory urogram, renal scan, renal angilgram showed 3.5X4cm sized space occuupying lesion on right upper pole of kidney. Right neprectomy was performed under impression of intramural wilms' tumor and followed intravenovenous injection of actinomycin D gamma/kg. Histopathological finding revealed partially clear dell type renal cell carcinoma which is extremely rare in pediatric age. Regional lymphnode and vessels disclosed no malignant cells. She received 3,000 rad radiati on on tumor bed on the 3rd postoperative day and two weeks later, hemotherapeutics were followed with actinomycin D 15 gamma/kg for 5 days per week for total 8 weeks and vincristine 1.5mg/M2/week for total 12 weeks. Six months later afeter completion of above treatment, she is doing well and attending to school.
Asunto(s)
Niño , Femenino , Humanos , Carcinoma de Células Renales , Colesterol , Creatinina , Dactinomicina , Riñón , Tonsila Palatina , Faringe , Examen Físico , Valores de Referencia , Vincristina , Tumor de WilmsRESUMEN
We experienced a case with benign recurrent hematuria in a 13-year-old boy. He had 5 times of gross hematuria during past four years. There was no abnormal findings on physical examination. He had normal renal function. However the renal biopsy specimen revealed IgA deposits in mesangium under immunofluorescent stain. A brief review of related literatures is also presented.