A case of renovascular hypertension with marked polyuria after percutaneous transluminal renal angioplasty.
A 43-year-old female patient with hypertension was diagnosed as having one-kidney renovascular hypertension with dysfunction of the contralateral kidney, and percutaneous transluminal renal angioplasty was carried out. Marked polyuria was observed during the 2- to 72-hour postoperative period. During the 12- to 18-hour period of polyuria, the urine volume was 8.9 liters/6 h, which was 62% of the glomerular filtration, and was accompanied by high fractional excretion of sodium and of potassium and a high urine beta 2-microglobulin level. The mechanism of polyuria in this case is discussed.
Tamatani
M
M
Department of Geriatric of Medicine, Osaka University Medical School, Japan.
Morimoto
S
S
Sakaguchi
K
K
Okuda
Y
Y
Nakahashi
T
T
Fukuo
K
K
Ogihara
T
T
D000328:Adult; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D001794:Blood Pressure / Q000502:physiology; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology* / Q000601:surgery; D015609:Organotechnetium Compounds; D011141:Polyuria / Q000000981:diagnostic imaging / Q000209:etiology*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D011859:Radiography; D011866:Radioisotope Renography; D012077:Renal Artery / Q000000981:diagnostic imaging; D004113:Succimer; D019783:Technetium Tc 99m Dimercaptosuccinic Acid
D015609:Organotechnetium Compounds; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D004113:Succimer