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Fatal Renal Failure in a Spinal Cord Injury Patient with Vesicoureteric Reflux Who Underwent Repeated Ureteric Reimplantations Unsuccessfully : Treatment Should Focus on Abolition of High Intravesical Pressures rather than Surgical Correction of Reflux
المؤلفون المشاركون
Vaidyanathan, Subramanian
Soni, Bakul M.
Abraham Abraham, Kottarathil
Hughes, Peter L.
Singh, Gurpreet
المصدر
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-12-25
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
A 29-year-old man developed paraplegia at T-10 level due to road traffic accident in 1972.
Both kidneys were normal and showed good function on intravenous urography.
Division of external urethral sphincter was performed in 1973.
In 1974, cystogram showed retrograde filling of left renal tract, which was hydronephrotic.
Left ureteric reimplantation was performed.
Following surgery, cystogram revealed marked retrograde filling of left renal tract as before.
Penile sheath drainage was continued.
In 1981, intravenous urography revealed bilateral severe hydronephrosis.
Left ureteric reimplantation was performed again in 1983.
Blood pressure was 220/140 mm Hg; this patient was prescribed atenolol.
Cystogram showed gross left vesicoureteral reflux.
Intermittent catheterisation was commenced in 2001.
In 2007, proteinuria was 860 mg/day.
This patient developed progressive renal failure and expired in 2012.
In a spinal cord injury patient with vesicoureteral reflux, the treatment should focus on abolition of high intravesical pressures rather than surgical correction of vesicoureteric reflux.
Detrusor hyperactivity and high intravesical pressures are the basic causes for vesicoureteral reflux in spinal cord injury patients.
Therefore, it is important to manage spinal cord injury patients with neuropathic bladder by intermittent catheterisations along with antimuscarinic drug therapy in order to abolish high detrusor pressures and prevent vesicoureteral reflux.
Angiotensin-converting enzyme inhibitors or angiotensin-receptor-blocking agents should be prescribed even in the absence of hypertension when a spinal cord injury patient develops vesicoureteral reflux and proteinuria.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Vaidyanathan, Subramanian& Soni, Bakul M.& Abraham Abraham, Kottarathil& Hughes, Peter L.& Singh, Gurpreet. 2012. Fatal Renal Failure in a Spinal Cord Injury Patient with Vesicoureteric Reflux Who Underwent Repeated Ureteric Reimplantations Unsuccessfully : Treatment Should Focus on Abolition of High Intravesical Pressures rather than Surgical Correction of Reflux. Case Reports in Urology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-484323
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Vaidyanathan, Subramanian…[et al.]. Fatal Renal Failure in a Spinal Cord Injury Patient with Vesicoureteric Reflux Who Underwent Repeated Ureteric Reimplantations Unsuccessfully : Treatment Should Focus on Abolition of High Intravesical Pressures rather than Surgical Correction of Reflux. Case Reports in Urology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-484323
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Vaidyanathan, Subramanian& Soni, Bakul M.& Abraham Abraham, Kottarathil& Hughes, Peter L.& Singh, Gurpreet. Fatal Renal Failure in a Spinal Cord Injury Patient with Vesicoureteric Reflux Who Underwent Repeated Ureteric Reimplantations Unsuccessfully : Treatment Should Focus on Abolition of High Intravesical Pressures rather than Surgical Correction of Reflux. Case Reports in Urology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-484323
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-484323
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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