title: Ileal Neobladder With Mucous Plugs as a Cause of Obstructive Acute Kidney Injury Requiring Emergent Hemodialysis.
abstract: Ileal neobladder is the preferred technique in the management of urinary diversion postradical cystectomy for bladder malignancy. The common complications associated with this procedure are atrophied kidney, chronic pyelonephritis, decreased renal function, ureteroileal or urethral anastomotic site stricture, urinary tract stones, incontinence, and hyperchloremic metabolic acidosis. Mucous plugs are also seen in 2%-3% patients. We present a rare presentation of a patient who required hemodialysis for severe hyperkalemia and acute kidney injury caused by mucous plugging of ileal neobladder.
authors.affiliation: 1Division of Nephrology, Department of Medicine, Metropolitan Hospital Center, New York Medical College, New York, NY; and 2Department of Endocrinology, SUNY Downstate Medical Center, New York, NY.
authors.forename: Montish
authors.initials: M
authors.lastname: Singla
authors.forename: Deep
authors.initials: D
authors.lastname: Shikha
authors.forename: Sunggeun
authors.initials: S
authors.lastname: Lee
authors.forename: Donald
authors.initials: D
authors.lastname: Baumstein
authors.forename: Ashok
authors.initials: A
authors.lastname: Chaudhari
authors.forename: Roger
authors.initials: R
authors.lastname: Carbajal
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy; D015653:Cystectomy / Q000379:methods; D006801:Humans; D006947:Hyperkalemia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000379:methods; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects*