Specific management of acute renal failure caused by an upper ureteral stone in a solitary pelvic kidney.
A 36-year-old man presented with left lumbosacral region pain and 2 days of oliguria. Acute renal failure of a solitary pelvic kidney was diagnosed after a blood creatinine test, color Doppler ultrasonography, and magnetic resonance imaging. The cause of the acute renal failure was not clear; however, acute ureteral obstruction was presumed and emergency surgery was performed. The unusual anatomy of the kidney required specific management to find and relieve the cause of the obstruction. We found and cleared an upper ureteral stone by endoscopic surgery after exploring the kidney through open surgery.
Shen
Wenhao
W
Department of Urology, First Affiliated Hospital to Third Military Medical University, Chongqing, China.
Li
Weibing
W
Pan
Jinhong
J
Yan
Junan
J
Xiong
Enqing
E
Li
Longkun
L
Zhou
Zhansong
Z
Song
Bo
B
Lu
Gensheng
G
D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy*; D000328:Adult; D003404:Creatinine / Q000097:blood; D004724:Endoscopy / Q000379:methods; D006801:Humans; D007668:Kidney / Q000002:abnormalities / Q000601:surgery*; D007682:Kidney Pelvis / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D009846:Oliguria / Q000150:complications / Q000209:etiology; D011859:Radiography; D014463:Ultrasonography; D014514:Ureteral Calculi / Q000150:complications*; D014517:Ureteral Obstruction / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology
D003404:Creatinine