Dissolution of uric acid stones causing acute obstructing anuria in three consecutive infants.
We report on 3 infants with obstructive anuria due to bilateral uric acid stones. In all patients the precipitating cause of acute obstructive renal failure was choking of bilateral ureteropelvic junction with numerous small uric acid stones without cause pelvicaliceal dilatation. While the chemical dissolution therapy succeeded in dissolving the stones in 2 patients, unilateral percutaneous nephrostomy application associated with alkalization achieved dissolution of obstructing stones in the remaining 1 patient.
Kaya
Mete
M
Harran University, Medical School, Department of Pediatric Surgery, Sanliurfa, Turkey. kayamete@yahoo.com
Soran
Mustafa
M
Boleken
Mehmet Emin
ME
Memedoglu
Mehmet Erdal
ME
Yücesan
Selçuk
S
D058186:Acute Kidney Injury / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D001002:Anuria / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D011859:Radiography; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D007507:Therapeutic Irrigation / Q000379:methods; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D014517:Ureteral Obstruction / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D014527:Uric Acid / Q000737:chemistry*
D014527:Uric Acid