ARF after retrograde pyelography: a case report and literature review.
Acute renal failure (ARF) occasionally occurs after intravenous injection of contrast medium, but complications are rare after retrograde pyelography. After reviewing the reports in the English-language literature, the authors found very few on those complications after retrograde pyelography. The authors present a patient who had ARF after the technique. The patient had a history of hypopharyngeal cancer with underlying serum creatinine level at the high end of the normal limits. Bilateral flank pain and decreased urine amount were noted soon after the procedure of retrograde pyelography. Subsequently, blood urea nitrogen and creatinine levels both elevated, and hemodialysis was needed. Several days later, diuretic phase took place. Thereafter, the symptoms subsided gradually. Pyelorenal extravasation of contrast medium was remarkable during the procedure. There was no evidence of hydronephrosis during the course of ARF. Early awareness and management may prevent the complications of ARF such as acute lung edema and hyperkalemia. Therefore, clinical physicians should be aware of the occurrence of ARF and its clinical presentation after performing retrograde pyelography.
Chiu
Yu Shin
YS
Department of Internal Medicine, En Chu Kong Hospital, Taipei, Taiwan, China.
Chiang
Hong Wei
HW
Huang
Chao Yuan
CY
Tsai
Tun Jun
TJ
D058186:Acute Kidney Injury / Q000209:etiology*; D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000000981:diagnostic imaging; D003131:Combined Modality Therapy; D004487:Edema / Q000209:etiology; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000150:complications / Q000532:radiotherapy / Q000601:surgery; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging; D008297:Male; D016609:Neoplasms, Second Primary / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000209:etiology; D014517:Ureteral Obstruction / Q000209:etiology; D014567:Urography / Q000009:adverse effects* / Q000379:methods