Zender H O, Ruedin P, Moser F, Bolle J F, Leski M
Division of Nephrology, University Hospital, Geneva, Switzerland.
Clin Nephrol. 1992 Oct;38(4):196-202.
We report the case of a 34-year-old Japanese man suffering from a nephrogenic diabetes insipidus (NDI) associated with bilateral hydronephrosis, hydroureters and enlarged trabeculated bladder without obstruction. He also presented with chronic renal failure which has rarely occurred in similar cases. The patient was admitted after a traumatic rupture of the left urinary tract which had never been described until now in NDI. He was treated successfully by transient peritoneal and vesical drainages. This paper focuses on the very rare complication of chronic renal failure secondary to hydronephrosis in cases of NDI. The literature of this association is reviewed.
我们报告了一例34岁的日本男性病例,该患者患有肾性尿崩症(NDI),伴有双侧肾积水、输尿管积水和小梁增大的膀胱,但无梗阻。他还出现了慢性肾衰竭,这在类似病例中很少发生。该患者因左尿路创伤性破裂入院,这种情况在NDI中此前从未有过描述。通过临时腹膜和膀胱引流成功治疗了该患者。本文重点关注NDI病例中肾积水继发慢性肾衰竭这一极为罕见的并发症。并对该关联的文献进行了综述。