[Acute renal insufficiency due to hydronephrosis].
Acute renal failure due to hydronephrosis is a rare pathology. It can occur unilaterally, or as a pyelo-ureteral junction (PUJ) bilateral syndrome. In the present study, two cases have been reported. The diagnosis was based on ultrasonographic findings which showed hydronephrosis, and on descending pyelo-ureterography (DPU), which demonstrated an absence of opacification. Infection was present in one case. Preliminary treatment consisted of percutaneous nephrostomy, followed by surgical pyelo-ureteral resection and Anderson-Hynes pyeloplasty which gave good results (95% success rate), and which enabled a satisfactory recovery of renal function to be obtained.
Service d'urologie, CHU Ibn-Roch, Casablanca, Maroc.
A
A
Debbagh
B
B
Dassouli
M
M
Hafiani
A
A
el Moussaoui
S
S
Bennani
M
M
el Mrini
S
S
Benjelloun
D058186:Acute Kidney Injury / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000150:complications*; D014463:Ultrasonography; D014513:Ureter / Q000601:surgery