Uterine Prolapse as a Cause of Chronic Renal Failure
Journal Name:
- Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi
Keywords (Original Language):
| Author Name | University of Author | Faculty of Author |
|---|---|---|
Abstract (2. Language):
Uterine prolapse, common in old and multiparous women, has been reported as a rare cause of obstructive
uropathy. In this case, the management of a 75-year-old female patient who presented at the outpatient
clinic with a history of anuresis and diagnosed with total uterine prolapse, bilateral hydronephrosis,
urinary infection and acute renal failure is presented. The renal failure clinical picture regressed with
appropriate treatment. However, the patient refused surgery and chose to have a pessary implemented.
Four months after dismissal, she was readmitted to the hospital with recurrent renal failure that required
dialysis treatment. The patient did not respond to therapy and was placed on a chronic dialysis program
with a diagnosis of end-stage renal disease due to posterenal causes.
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Abstract (Original Language):
Uterin prolapsus, yaşlı ve multipar kadınlarda yaygın olmakla birlikte obstrüktif üropatinin nedeni
olarak nadiren rapor edilmiştir. Bu olguda, anüri ile müraccat eden 75 yaşında bir kadın hastada
total uterin prolapsus, bilateral hidronefroz, üriner enfeksiyon ve akut böbrek yetmezliği saptanması
sunulmuştur. Uygulanan tedavi sonrası böbrek yetmezliği düzelmiştir. Hasta cerrahi tedaviyi reddetmiş
ve pesser tedavisini seçmiştir. Dört ay sonra hasta diyaliz gerektirir böbrek yetmezliği tablosu ile
yeniden müracaat etmiştir. Hasta tedaviye cevap vermemiş ve postrenal nedenli son dönem böbrek
yetmezliği tanısı ile hemodiyaliz programına alınmıştır.
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