Malignant renal obstruction without dilatation
| Autor: | S Hamour, B Mohidin, Alan D. Salama, P Bass |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Kidney Abdominal pain medicine.diagnostic_test business.industry Context (language use) General Medicine Critical Care and Intensive Care Medicine Malignancy medicine.disease Surgery medicine.anatomical_structure Cellulitis Biopsy Emergency Medicine Internal Medicine medicine Flucloxacillin medicine.symptom business Nephritis medicine.drug |
| Zdroj: | Acute Medicine Journal. 18:121-123 |
| ISSN: | 1747-4884 |
| DOI: | 10.52964/amja.0761 |
| Popis: | A 61 year old male presented with a one-week history of abdominal pain and loose stools. He had recently received treatment for cellulitis with flucloxacillin. He was anuric on presentation requiring haemodialysis. His ultrasound scan showed patent vessels with no signs of obstruction. A kidney biopsy revealed tubulointerstitial nephritis, attributed to recent treatment with flucloxacillin. A week later he developed lower limb thromboembolic disease triggering further investigations. A FDG PET-CT scan revealed a large FDG-avid retroperitoneal mass causing non-dilated obstruction of both kidneys. Bilateral retrograde stents were inserted which resulted in a 1.6L diuresis and cessation of haemodialysis. Non-dilated obstruction should be considered in anuric AKI, particularly in the context of malignancy, and may require a therapeutic trial of decompression. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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