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Hidronefroz Olmadan Postrenal Akut Böbrek Yetmezliği Olabilir mi?

Is Postrenal Acute Renal Failure Possible in the Absence of Hydronephrosis?

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2014
DOI: 
10.5262/tndt.2014.1003.19

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Acute renal failure (ARF) is a clinical situation that renal functions deteriorate suddenly within hours to days. Postrenal causes are responsible for a small part of ARF. In this article, we presented a case gone to left nephrectomy priorly, with a right ureter stone led to complete obstruction, ARF, and treated by ureterorenoscopy (URS). A seventy year old male patient was sent to Emergency Department because of anuria for 48 hours. In ultrasonographic exam; there wasn’t hydronephrosis of right kidney. A right lower ureter stone was seen in the non-contrast spiral abdominal computed tomography. The lower ureter stone was removed by URS and JJ catheter was replaced. He was discharged with normal renal function tests. In conclusion, postrenal ARF must be ruled out in patients with acute anuria, especially zero urine, even if hydronephrosis delinea. If postrenal ARF is diagnosed and treated quickly, the outcomes will be excellent.
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Abstract (Original Language): 
Akut böbrek yetmezliği (ABY) böbrek fonksiyonlarının saatler veya günler içinde hızlıca bozulduğu bir klinik durumdur. Postrenal sebepler ABY’nin küçük bir kısmından sorumludur. Bu yazıda, daha önce sol nefrektomi geçiren, sağ üreter taşının sebep olduğu obstrüksiyon, ABY ve üreterorenoskopi (URS) ile tedavi edilen bir olguyu sunduk. 70 yaşında erkek hasta 48 saattir idrar çıkışının olmaması nedeniyle acil servise gönderilmişti. Ultrasonografik muayenede sağ böbrekte hidronefroz yoktu. Nonkontrast spiral abdominal bilgisayarlı tomografide sağ alt üreter taşı görüldü. Alt üreter taşı URS ile çıkartılarak JJ kateter yerleştirildi. Hasta normal böbrek fonksiyonları ile taburcu edildi. Sonuç olarak; hidronefroz olmasa bile akut anüri durumunda özellikle idrar çıkışı hiç yoksa postrenal ABY ekarte edilmelidir. Postrenal ABY hızlıca teşhis ve tedavi edilirse sonuç mükemmeldir.
FULL TEXT (PDF): 
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  • Turkish

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