Reflex anuria causing acute kidney injury following myomectomy: A case report

被引：0

作者：

Tahmina, Sultana ^{[1
,3
]}

Daniel, Mary ^{[1
]}

Kalra, Sidhartha ^{[2
,4
]}

机构：

[1] Pondicherry Inst Med Sci, Dept Obstet & Gynaecol, Pondicherry, India

[2] Pondicherry Inst Med Sci, Dept Urol, Pondicherry, India

[3] Melmaruvathur Adhiparasakthi Inst Med Sci & Res, Dept Obstet & Gynaecol, Melmaruvathur, Tamil Nadu, India

[4] Jawaharlal Inst Postgrad Med Educ & Res, Jipmer Campus Rd, Pondicherry, India

来源：

JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH | 2021年 / 47卷 / 03期

关键词：

acute renal failure; anuria; ureteral obstruction;

D O I：

10.1111/jog.14686

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Reflex anuria is a rare cause of acute renal failure, which may occur following ureteric manipulation or painful stimuli to adjacent organs during pelvic surgery. This condition, relatively unfamiliar to the general gynecologist, should be considered even when no obvious cause of anatomical obstruction is found. We present a case of reflex anuria in a 28-year-old woman for two large intramural fibroids. Evaluation did not reveal any organic obstruction of the urinary tract. Bilateral ureteric stenting and other supportive measures resulted in diuresis and improvement of renal function. Stents were removed after 10 days and patient was discharged on the 15th postoperative day with normal renal parameters. Intrarenal arteriolar spasm or ureteric spasm following pelvic manipulation can cause reflex anuria and should be considered in the differential diagnosis of acute renal failure in cases following pelvic surgery.

引用

页码：1195 / 1198

页数：4