Phenacetin-induced renal papillary necrosis: pyonephros, anuria, and bilateral ureteral obstruction.
A fifty-five-year-old man was seen with anuria. Retrograde pyelograms demonstrated bilateral ureteral obstruction subsequently shown to have resulted from sloughed renal papillae. A twenty-year history of phenacetin was obtained. Treatment included bilateral ureteral intubation, then ureterotomy on one side.
D001002:Anuria / Q000139:chemically induced* / Q000209:etiology; D006801:Humans; D007440:Intubation; D007674:Kidney Diseases / Q000139:chemically induced* / Q000209:etiology; D007681:Kidney Papillary Necrosis / Q000139:chemically induced* / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010615:Phenacetin / Q000009:adverse effects*; D011859:Radiography; D019966:Substance-Related Disorders / Q000150:complications*; D014513:Ureter / Q000000981:diagnostic imaging; D014517:Ureteral Obstruction / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000209:etiology; D014546:Urinary Catheterization
D010615:Phenacetin