scholarly journals Bilateral Ureteral Obstruction in Children after Appendectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
M. Grande ◽  
G. Lisi ◽  
D. Bianchi ◽  
P. Bove ◽  
R. Miano ◽  
...  

Acute renal failure due to bilateral ureteral obstruction is a rare complication after appendectomy in children. We report a case of bilateral ureteric obstruction in a 14-year-old boy nine days after surgery for an acute appendicitis. After saline-filling of the urinary bladder, transabdominal ultrasound demonstrated bilateral hydronephrosis of moderate degree. No abscess was found with CT but presence of millimetric stones on both distal ureters was shown, with bilateral calyceal dilatation. Cystoscopy revealed inflammatory changes in the bladder base. Following introduction of bilateral ureteric stents, there was rapid normalisation of urinary output and serum creatinine.

2002 ◽  
Vol 9 (8) ◽  
pp. 467-469 ◽  
Author(s):  
Yoh Matsuoka ◽  
Tatsuya Machida ◽  
Kaoru Oka ◽  
Kazuhiro Ishizaka

1982 ◽  
Vol 128 (4) ◽  
pp. 803-804 ◽  
Author(s):  
Frank L. D’Elia ◽  
Richard E. Brennan ◽  
P. Kenneth Brownstein

2010 ◽  
Vol 3 (1) ◽  
pp. 38-39 ◽  
Author(s):  
Annemarie Hennessy ◽  
Ian Hill

Severe hyponatraemia is a rare complication of preeclampsia. In the case presented, the rapid recovery of liver function test abnormalities and thrombocytopenia were accompanied by acute renal failure, relative oliguria and progressive hyponatraemia contributing to confusion and ileus. Dialysis was instigated and the patient promptly recovered. Renal function recovered fully.


2006 ◽  
Vol 92 (6) ◽  
pp. 540-541
Author(s):  
Dimitrios Theodorou ◽  
Emmanuel Lagoudianakis ◽  
Michael Pattas ◽  
Panagiotis Drimousis ◽  
Dimitrios K Tsekouras ◽  
...  

Acute pretreatment tumor lysis syndrome is a rare complication of cancer. Early recognition and aggressive management are mandatory for prevention of the adverse sequelae of the syndrome. Here we present 2 cases of pretreatment tumor lysis syndrome, concluding that this clinical entity should be in the differential diagnosis of acute renal failure associated with malignancy, as early recognition is in fact the mainstay of treatment.


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Kwadwo Kyeremanteng ◽  
Gianni D’Egidio ◽  
Cynthia Wan ◽  
Alan Baxter ◽  
Hans Rosenberg

Objective. To describe a single case of Systemic Capillary Leak Syndrome (SCLS) with a rare complication of compartment syndrome.Patient. Our patient is a 57-year-old male, referred to our hospital due to polycythemia (hemoglobin (Hgb) of 220 g/L), hypotension, acute renal failure, and bilateral calf pain.Measurements and Main Results. The patient required bilateral forearm, thigh, and calf fasciotomies during his ICU stay and continuous renal replacement therapy was instituted following onset of acute renal failure and oliguria. Ongoing hemodynamic (Norepinephrine and Milrinone infusion) and respiratory (ventilator) support in the ICU was provided until resolution of intravascular fluid extravasation.Conclusions. SCLS is an extremely rare disorder characterized by unexplained episodic capillary hyperpermeability, which causes shift of volume and protein from the intravascular space to the interstitial space. Patients present with significant hypotension, hemoconcentration, hypovolemia, and oliguria. Severe edema results from leakage of fluid and proteins into tissue. The most important part of treatment is maintaining stable hemodynamics, ruling out other causes of shock and diligent monitoring for complications. Awareness of the clinical syndrome with the rare complication of compartment syndrome may help guide investigations and diagnoses of these critically ill patients.


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