Presentation
We report on an 18-year-old woman with a combined urogynecological malformation who presented with anuria. [ncbi.nlm.nih.gov]
Entire Body System
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Soft Tissue Mass
Ureteroscopy was done, and it showed presence of soft tissue mass obstructing the ureter. On the the left side, it was noted in its middle part and on the right, at the ureteropelvic junction. [ncbi.nlm.nih.gov]
Gastrointestinal
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Choking
In all patients the precipitating cause of acute obstructive renal failure was choking of bilateral ureteropelvic junction with numerous small uric acid stones without cause pelvicaliceal dilatation. [ncbi.nlm.nih.gov]
Neurologic
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Cognitive Impairment
Urinary incontinence may result from multiple causes, including physiologic reasons, cognitive impairments, or mobility problems. [go.myhomecarebiz.com]
Urogenital
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Anuria
Acute renal failure due to reflex anuria is related to a reflex mechanism involving arteriolar vasoconstriction and urethral spasm. Patients with reflex anuria can be successfully managed with medical or surgical interventions. [ncbi.nlm.nih.gov]
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Bilateral Flank Pain
An 11-year-old boy suffered from macroscopic haematuria and bilateral flank pain a few days after uneventful appendectomy for retrocaecal appendicitis phlegmonosa. Ultrasonography revealed a complete bilateral distal obstruction of the ureters. [ncbi.nlm.nih.gov]
Workup
Renal causes can be differentiated by further workup. If intravascular hemolysis is suspected, a serum haptoglobin test should be ordered. [doctorlib.info]
Most notable in the workup was a low blood pressure reading of 80/48. With the exception of a grandmother with hypertension, her history was unremarkable—she suffered no allergies, was not on any medications, and her immunizations were up to date. [hopkinsmedicine.org]
Metabolic workup for cystinuria was performed via a positive nitroprusside test. The diagnosis was confirmed by stone analysis by use of chemical methods. [synapse.koreamed.org]
However, anuria, though may be a late sign, should trigger complete and emergent workup that includes ultrasound of any suspected swelling in the vicinity of the transplanted renal graft, besides renal scan of the graft in order to rule out thrombosis [sjkdt.org]
X-Ray
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Pneumoperitoneum
The volume of infusion during pneumoperitoneum did not correlate with urine output. CONCLUSION: Pneumoperitoneum leads to anuria in most children younger than 1 year and to oliguria in about one third of older children. [ncbi.nlm.nih.gov]
Fig. 1 Urine production during pneumoperitoneum (pressure, 8 mm Hg) in 8 infants aged 0 to 12 months. Each line represents urine production of 1 patient. Seven infants (88%) developed anuria within the first 45 minutes of pneumoperitoneum. [jpedsurg.org]
Serum
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Creatinine Decreased
His serum creatinine decreased over this interval without the use of extracorporeal hemofiltration or dialysis. [ncbi.nlm.nih.gov]
Treatment
Open surgical treatment was applied in 5 (20.8%), endoscopic treatment was applied in 15 (62.5%), while combined treatment was applied in 4 (16.6%) patients. All patients had normal serum creatinine on discharge. [ncbi.nlm.nih.gov]
Prognosis
Abstract Peritoneal dialysis patients with anuria have a poor prognosis because of uremia and volume overload. In the present paper, I discuss a suitable prescription for children with anuria. [ncbi.nlm.nih.gov]
The 23-day-long anuria seemed to indicate an extremely poor prognosis and may have been related to delay in eradicating a residual uterine abscess which was a site of Clostridial infection. [jamanetwork.com]
Conclusion : Obstructive anuria is an urological emergency that involves immediate and functional prognosis of the kidney. Its management is closely related to the etiology of the obstruction which also determines the prognosis. [medcraveonline.com]
Etiology
For this reason, one should consider a fungal infestation in high-risk patients with obstructive uropathy of unknown etiology. [ncbi.nlm.nih.gov]
Etiology and outcomes of anuria in acute kidney injury: A single center study. Kidney Research and Clinical Practice, 34(1), 13–19. [mendeley.com]
Etiology and outcomes of anuria in acute kidney injury: A single center study. Kidney Research and Clinical Practice, 34(1), 13-19. [koreauniv.pure.elsevier.com]
Epidemiology
As the epidemiology of AKI has significantly changed over the past decade, it is possible that the incidence, etiology, or clinical characteristics of anuric AKI have also changed. [koreauniv.pure.elsevier.com]
Expand allCollapse all Category: Epidemiology and Outcomes from AKI Presenter: Dr DHEEPA RAMASAMY Keywords: anuria mortality AKI Introduction Urine output is often reduced in critically ill patients with acute kidney injury. [kireports.org]
The incidence of AKI has been increasing recently and significant changes have occurred in the epidemiology of AKI during the past decade [3]. [ncbi.nlm.nih.gov]
To our knowledge, this is the first epidemiological and analytical study on obstructive anuria carried out in the region of eastern Morocco. It is a medical and surgical emergency that can be life-threatening [1,4,5]. [medcraveonline.com]
Pathophysiology
J Endourol. 2012; 26: 792-796 Moe OW Kidney stones: pathophysiology and medical management.Lancet. 2006; 367: 333-344 Türk CG Knoll T Petrik A Sarica K Skolarikos A Straub M et al. [ajemjournal.com]
Pathophysiology of experimental nonoliguric acute renal failure. Kidney Int, 1993;43;513-521. Mehta, RL. Fluid balance and acute kidney injury: the missing link for predicting adverse outcomes?. Nat Clin Pract Nephrol, 2009;5;10-11. [krcp-ksn.org]
The challenge is to understand the pathophysiological mechanism responsible for this complex syndrome. There are various mechanisms that have been proposed to explain RA. [bmcnephrol.biomedcentral.com]
Metabolomics is a powerful tool which can be used to identify unexpected pathway-related disease progression and pathophysiological mechanisms. [ncbi.nlm.nih.gov]
Pathophysiology of Urinary tract Obstruction. In: Campbell-Walsh. Urology. 10th edition. Saunders: Philadelphia; 2011. pp. 1087-1121. Yalavarthy R, Parikh CR. Congenital renal agenesis: a review. Saudi J Kidney Dis Transpl. 2003;14:336-341. [casereports.in]
Prevention
In this case we believe that the collateral circulation played a significant role in immediate recovery of kidney function by maintaining renal perfusion pressure and preventing acute tubular necrosis (ATN). [ncbi.nlm.nih.gov]
Use of dexamethasone has been described by Hamdy and Williams (1995) [1] to relieve ureteric obstruction and prevent PCN but the response with the drug had come after 2-5 days in their set of evaluated patients. [indianjurol.com]