Acute Kidney Injury and Postobstructive Diuresis Caused by a 4 mm Urinary Calculus
Journal of the Korean Society of Pediatric Nephrology
;
: 117-121, 2013.
Article
in English
| WPRIM
| ID: wpr-75952
ABSTRACT
Urinary obstructions from ureteral calculi are one of the causes of postrenal acute kidney injury (AKI). Here we present a case of AKI caused by a 4 mm ureteral calculus with postobstructive diuresis following the spontaneous passage of the calculus. A 13-year-old girl who underwent nephrectomy for the removal of a neuroblastoma eight years previously, visited our institution because anuria had developed over the preceding five days. The serum creatinine level was elevated at 13.4 mg/dL. Radiological examinations showed the right solitary kidney with moderate hydronephrosis and a 4 mm calculus in the upper right ureter. The patient immediately underwent hemodialysis. After the ureteral calculus was passed spontaneously on day 2 of hospitalization, urinary output increased to more than 5,200 mL per day. Intravenous fluid replacement with careful monitoring of weight, intake, output, and serum and urine electrolytes was performed. On day 5 of hospitalization, the patient's condition stabilized.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Anuria
/
Polyuria
/
Ureter
/
Calculi
/
Ureteral Calculi
/
Urinary Calculi
/
Renal Dialysis
/
Creatinine
/
Diuresis
/
Electrolytes
Limits:
Adolescent
/
Female
/
Humans
Language:
English
Journal:
Journal of the Korean Society of Pediatric Nephrology
Year:
2013
Type:
Article
Similar
MEDLINE
...
LILACS
LIS