[Acute renal failure due to over-infusion in a child with bilateral obstruction of the pyeloureteral junction].
A 2-year-old boy was hospitalized with the chief complaint of oliguria and dyspnea. Bilateral hydronephrosis and obstruction of the pyeloureteral junction were detected by ultrasonography. Pulmonary edema was also found on chest radiographs. The clinical diagnosis was acute post renal failure due to bilateral pyeloureteral obstruction and pulmonary edema due to overtransfusion. After we performed bilateral percutaneous nephrostomy, the patient recovered from renal failure and pulmonary edema. Both nephrostomies were removed after we confirmed a non-obstructing pattern using the Whitaker test.
Nagano
M
M
Department of Urology, Faculty of Medicine, Miyazaki Medical College.
Shitamura
T
T
Kodama
S
S
Hamasuna
R
R
Osada
Y
Y
D058186:Acute Kidney Injury / Q000209:etiology*; D002675:Child, Preschool; D003681:Dehydration / Q000628:therapy; D005440:Fluid Therapy / Q000009:adverse effects*; D006801:Humans; D006869:Hydronephrosis / Q000150:complications* / Q000000981:diagnostic imaging; D007682:Kidney Pelvis; D008297:Male; D011654:Pulmonary Edema / Q000150:complications; D014463:Ultrasonography; D014517:Ureteral Obstruction / Q000150:complications*