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
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Anurie
/
Polyurie
/
Uretère
/
Calculs
/
Calculs urétéraux
/
Calculs urinaires
/
Dialyse rénale
/
Créatinine
/
Diurèse
/
Électrolytes
Limites du sujet:
Adolescent
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Journal of the Korean Society of Pediatric Nephrology
Année:
2013
Type:
Article
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