The Prerenal causes of anuria include hypovolemia, sepsis, cardiogenic shock and hypoxia. The renal causes are mostly due to damage or ischemia of the glomeruli and renal tubules. Postrenal anuria is usually due to obstruction to flow the urine through the lower urinary tract. Anuria is the complete absence of urine production.
|Genre:||Health and Food|
|Published (Last):||20 September 2016|
|PDF File Size:||12.76 Mb|
|ePub File Size:||7.57 Mb|
|Price:||Free* [*Free Regsitration Required]|
Spinal Cord. Calculus anuria in a spina bifida patient, who had solitary functioning kidney and recurrent renal calculi. METHODS: A female patient, who was born with spina bifida, paraplegia and solitary right kidney, had undergone ileal loop urinary diversion.
Renal calculi were noted in Percutaneous nephrostolithotomy was performed in and there was no residual stone fragment. However, she developed recurrence of calculi in the lower pole of the right kidney in Intravenous urography, performed in , revealed right staghorn calculus and hydronephrosis. Chest X-ray showed markedly restricted lung volume due to severe kyphoscoliosis. In , she was declared unsuitable for anaesthesia due to a lack of venous access and a high likelihood of difficulty in weaning off the ventilator in the postoperative period.
Urea: Ultrasound showed right hydronephrosis. Percutaneous nephrostomy was performed. However, the patient expired 19 days later due to progressive respiratory failure. CONCLUSION: In this spina bifida patient, who had reached the age of 35 years, severe kyphoscoliosis and lack of vascular access presented insurmountable challenges to implement the desired surgical procedure for removal of stones from a solitary kidney.
Khan FA. History of calculus disease of urinary tract. J Pak Med Assoc ;— Malek RS.