Reflex Auria affecting both kidney following hysterectomy

Joint Authors

Gholyaf, Mahmud
Afzali, Said
Babolhavaegi, Hoshang
Abu al-Fadl, Rahimi
Wagharseyedayn, Seyed A.

Source

Saudi Journal of Kidney Diseases and Transplantation

Issue

Vol. 20, Issue 1 (28 Feb. 2009), pp.120-123, 4 p.

Publisher

Saudi Center for Organ Transplantation

Publication Date

2009-02-28

Country of Publication

Saudi Arabia

No. of Pages

4

Main Subjects

Medicine

Topics

Abstract EN

In situations when there is unilateral ureteral obstruction, the contralateral kidney retains its normal function.

In rare instances however, it has been reported that unilateral ureteral obstruction can lead to reflex anuria (RA) and acute renal failure (ARF).

Even more unusually, RA with ARF can occur without organic obstruction due to ureteric manipulation during pelvic surgery.

We report a 78- year-old woman, who underwent hysterectomy because of endometrial carcinoma.

She developed ARF evidenced by anuria of 120-hours duration, and gradual rise of serum creatinine levels to 11.8 mg / dL on the fifth day after hysterectomy.

Ultrasound study of the urinary tract revealed bilateral moderate hydronephrosis.

Detailed evaluation did not reveal any organic obstruction.

She was managed with hemodialysis, control of hypertension and correction of fluid and electrolyte imbalances.

By the sixth day, diuresis was established, and the blood urea and serum creatinine levels decreased to normal by the sixteenth day.

The patient was finally discharged on the eighteenth day.

Our case suggests that urologists and nephrologists should consider RA as one of the causes of anuria and ARF.

American Psychological Association (APA)

Gholyaf, Mahmud& Afzali, Said& Babolhavaegi, Hoshang& Abu al-Fadl, Rahimi& Wagharseyedayn, Seyed A.. 2009. Reflex Auria affecting both kidney following hysterectomy. Saudi Journal of Kidney Diseases and Transplantation،Vol. 20, no. 1, pp.120-123.
https://search.emarefa.net/detail/BIM-36341

Modern Language Association (MLA)

Gholyaf, Mahmud…[et al.]. Reflex Auria affecting both kidney following hysterectomy. Saudi Journal of Kidney Diseases and Transplantation Vol. 20, no. 1 (Jan. 2009), pp.120-123.
https://search.emarefa.net/detail/BIM-36341

American Medical Association (AMA)

Gholyaf, Mahmud& Afzali, Said& Babolhavaegi, Hoshang& Abu al-Fadl, Rahimi& Wagharseyedayn, Seyed A.. Reflex Auria affecting both kidney following hysterectomy. Saudi Journal of Kidney Diseases and Transplantation. 2009. Vol. 20, no. 1, pp.120-123.
https://search.emarefa.net/detail/BIM-36341

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 123

Record ID

BIM-36341