Nephrogenic diabetes insipidus due to hydronephrosis in a patient with a solitary kidney.
A 68-year-old man with a history of nephrectomy of the right kidney was admitted to our hospital with a 1-month history of polyuria (> 41 per day). He also exhibited hyposthenuria, which was unresponsive to treatment with exogenous vasopressin. Radiographic examination revealed partial obstruction of the left ureter and moderate hydronephrosis. The cause of the obstruction was cancer of the ureter. After drainage using a nephrostomy tube, the polyuria and hyposthenuria were gradually resolved. This is the first known case of nephrogenic diabetes insipidus due to hydronephrosis in a patient with a solitary kidney.
Department of Internal Medicine, Osaka City General Hospital, 2-13-22, Miyakojima-Hondori, Miyakojima-ku, Osaka 534-0021, Japan. kyoshioka@ocgh.hospital.city.osaka.jp
Katsunobu
K
Yoshioka
Masahito
M
Imanishi
Haruna
H
Sakai
Takashi
T
Morikawa
Noriyuki
N
Okada
Yoshio
Y
Konishi
Shiro
S
Tanaka
Sadanori
S
Kamikawa
Taku
T
Kim
Satoru
S
Fujii
D000368:Aged; D001706:Biopsy; D018500:Diabetes Insipidus, Nephrogenic / Q000209:etiology*; D006801:Humans; D006869:Hydronephrosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D007668:Kidney / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D014057:Tomography, X-Ray Computed; D014567:Urography