A Novel cause of abdominal pain presenting with anuria and renal failure.
| Autor: | Corkill J; Urology, Royal United Hospital Bath NHS Trust, Bath, UK j.corkill@nhs.net., Rupret S; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Scrivens E; Royal United Hospital Bath NHS Trust, Bath, UK., Ali A; Royal United Hospital Bath NHS Trust, Bath, UK. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2024 Jan 29; Vol. 17 (1). Date of Electronic Publication: 2024 Jan 29. |
| DOI: | 10.1136/bcr-2023-257922 |
| Abstrakt: | A girl in early adolescence with autism presented with 3 months of abdominal pain and 36 hours of anuria. She had recently received treatment for urinary tract infections, anxiety and menorrhagia (she had undergone menarche a few months earlier). Due to the pain, she had pulled out an incisor. Bladder scan showed 923 mL, creatinine was 829 mmol/L but urethral catheter insertion did not drain urine. An unenhanced CT scan revealed an absent left kidney, didelphys uterus and right-sided hydroureteronephrosis caused by haematocolpos in keeping with a diagnosis of OHVIRA syndrome and ureteric obstruction of a single kidney causing acute renal failure. She underwent vaginal septoplasty, drainage of the haematocolpos and right ureteric stent. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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