title: Obstructive uropathy by total uterine prolapse leading to end-stage renal disease.
abstract: A 74-year-old woman was admitted to our emergency room complaining of general weakness and anorexia that started 20 days earlier. She denied other underlying diseases that might have provoked chronic renal disease. Her serum creatinine was 12.35 mg/dL. A pelvic examination and computed tomography revealed severe bilateral hydroureteronephrosis with marked cortical thinning induced by total uterine prolapse. She was started on emergency hemodialysis due to her uremic symptoms and severe metabolic acidosis. Despite Foley catheter insertion and manual reduction of uterus for 1 month, renal function was not recovered. The department of gynecology was strongly opposed to performing a procedure to reverse the hydroureteronephrosis due to the irreversibility of her renal function. She is undergoing chronic maintenance hemodialysis. This is a case report of rare end-stage renal disease (ESRD) caused by obstructive uropathy due to pelvic organ prolapse (POP). We should consider POP as a cause of ESRD.
authors.affiliation: Department of Internal Medicine, School of Medicine, Gyeongsang National University Hospital, Jinju, South Korea.
authors.forename: Eun Jin
authors.initials: EJ
authors.lastname: Bae
authors.forename: Yeojin
authors.initials: Y
authors.lastname: Kang
authors.forename: Jong Woo
authors.initials: JW
authors.lastname: Seo
authors.forename: Kyungo
authors.initials: K
authors.lastname: Hwang
authors.forename: Hyun Seop
authors.initials: HS
authors.lastname: Cho
authors.forename: Se-Ho
authors.initials: SH
authors.lastname: Chang
authors.forename: Dong Jun
authors.initials: DJ
authors.lastname: Park
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology* / Q000628:therapy; D006435:Renal Dialysis; D014596:Uterine Prolapse / Q000150:complications*