Successful Management of Thrombocytopenia, Microangiopathic Anemia, and Acute Renal Failure by Plasmapheresis

Anterior sacral meningoceles (ASMs) are rare defects in the sacrum with thecal sac herniations and symptoms that commonly include constipation, dysmenorrhea, and urinary disturbances. An ASM causing hydronephrosis and acute renal failure from compression of the lower portion of the urinary tract is a rare clinical entity. Only one other case has been reported. The authors present the case of a 37-year-old man admitted for obstructive renal failure and hydronephrosis due to a giant ASM that measured 25 × 12 × 18 cm and compressed the ureters and bladder. The ASM was successfully treated via an anterior transabdominal approach in which the authors used a novel technique for watertight closure of the meningocele pedicle with an endoscopic cutting stapler. The authors review the literature and discuss the surgical options for the treatment of ASMs, specifically the management of ASMs in the context of obstructive renal failure and hydronephrosis.

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Fulminant lupus pneumonitis with acute renal failure and RBC aplasia. Successful management with plasmapheresis and immunosuppression

Archives of Internal Medicine ◽

10.1001/archinte.141.8.1081 ◽

1981 ◽

Vol 141 (8) ◽

pp. 1081-1083 ◽

Cited By ~ 8

Author(s):

J. P. Isbister

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Successful Management ◽

Lupus Pneumonitis

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Acute renal failure after massive honeybee stings

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46652003000100010 ◽

2003 ◽

Vol 45 (1) ◽

pp. 45-50 ◽

Cited By ~ 34

Author(s):

Elizabeth De Francesco Daher ◽

Geraldo Bezerra da Silva Junior ◽

Glaydcianne Pinheiro Bezerra ◽

Lícia Borges Pontes ◽

Alice Maria Costa Martins ◽

...

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Early Recognition ◽

Burning Sensation ◽

Intravascular Hemolysis ◽

Successful Management ◽

Fluid Infusion ◽

Renal Function Recovery ◽

Function Recovery ◽

Pigment Nephropathy

Two clinical cases of patients who survived after numerous attacks of Africanized bees (600 and 1500 bee stings, respectively) are reported. Clinical manifestation was characterized by diffuse and widespread edema, a burning sensation in the skin, headache, weakness, dizziness, generalized paresthesia, somnolence and hypotension. Acute renal failure developed and was attributed to hypotension, intravascular hemolysis, myoglobinuria due to rhabdomyolysis and probably to direct toxic effect of the massive quantity of injected venom. They were treated with antihistaminic, corticosteroids and fluid infusion. One of them had severe acute renal failure and dialysis was required. No clinical complication was observed during hospital stay and complete renal function recovery was observed in both patients. In conclusion, acute renal failure after bee stings is probably due to pigment nephropathy associated with hypovolemia. Early recognition of this syndrome is crucial to the successful management of these patients.

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The Mckittrick-Wheelock Syndrome: A Rare Cause of Severe Hydroelectrolyte Disorders and Acute Renal Failure

Case Reports in Nephrology ◽

10.1155/2011/765689 ◽

2011 ◽

Vol 2011 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Andrea Bruno ◽

Domenico Chimienti ◽

Alda Montanaro ◽

Fernando Prete ◽

Pasquale Libutti ◽

...

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Surgical Resection ◽

Villous Adenoma ◽

Rectal Tumor ◽

Successful Management ◽

Definitive Management ◽

Rectal Villous Adenoma

The McKittrick-Wheelock syndrome is a rare cause of severe hydroelectrolyte disorders and fluid depletion as a result of rectal tumor hypersecretion, which can lead to acute renal failure. We report the case of a 70-year-old female who presented with hyponatremia, hypokalemia, hypochloremia, and acute renal failure, due to a watery, mucinous diarrhea. A large rectal villous adenoma was discovered on ileocolonoscopy, and definitive management was achieved by removal of the tumor. In conclusion, reversal of the biochemical derangement is the cornerstone of successful management of the McKittrick-Wheelock syndrome. Then, immediate surgical resection of the tumor is the treatment of choice.

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