Acute Renal Failure after Bilateral Retrograde Pyelography-A Case of Early Diversion

Chiung-Wen Hsu ； Hui-Ching Tseng ； Chieh-Hsiao Chen

《Acta Nephrologica》 26卷2期 (2012/06) Pp. 97-99

https://doi.org/10.6221/AN.2011018

並列摘要

Acute renal failure is a rare complication of retrograde pyelography. We demonstrate a patient who experienced acute renal failure induced by bilateral retrograde pyelography. The possible mechanisms, including renal and post-renal causes, are also discussed. Post-obstructive diuretic phase after early urinary diversion is an evidence of obstructive renal failure. Early urinary diversion also shortens the course of acute renal failure and reduces the requirement of hemodialysis which was experienced by cases reported previously.

並列關鍵字

acute renal failure ； retrograde pyelography ； contrast medium allergy ； mitomycin C complication ； hydronephrosis

參考文獻

Chiu YS, Chiang HW, Huang CY, Tsai TJ. ARF after retrograde pyelography: a case report and literature review. Am J Kidney 42: E13-E16, 2003.

Sirota JH, Narins L. Acute urinary suppression after ureteral catheterization: the pathogenesis of "reflex anuria." N Engl J Med 257: 1111-1113, 1957.

Burros HM, Borromeo VHJ, Seligson D. Anuria following retrograde pyelography. Ann Intern Med 48: 674-676, 1958.

Allen C, Owen W, Martin P. Acute parenchymal dysfunction with acute anuria induced by retrograde pyelography. Arch Intern Med 119: 214-217, 1967.

Epstein E, Shelp WD, Weinstein AB. Acute renal failure following retrograde pyelography. Invest Urol 2: 355-364, 1965.