Peces R, Canora J, Venegas J L
Sección de Nefrología, Hospital General La Mancha-Centro, Alcázar de San Juan, Ciudad Real.
Nefrologia. 2005;25(2):191-4.
Acute and chronic renal failure secondary to bilateral severe hydroureteronephrosis is a rare sequela of uterine prolapse. We report a case of neglected complete uterine prolapse in a 72-year-old patient resulting in bilateral hydroureter, hydronephrosis, and chronic renal failure. In an attempt to diminish the ureteral obstruction a vaginal pessary was used to reduce the uterine prolapse. Finally, surgical repair of prolapse by means of a vaginal hysterectomy was performed. In conclusion, all patients presenting with complete uterine prolapse should be screened to exclude urinary tract obstruction. If present, obstructive uropathy should be relieved by the reduction or repair of the prolapse before irreversible renal damage occurs.
双侧严重肾盂积水继发的急慢性肾衰竭是子宫脱垂罕见的后遗症。我们报告一例72岁患者被忽视的完全性子宫脱垂，导致双侧输尿管积水、肾盂积水和慢性肾衰竭。为减轻输尿管梗阻，使用阴道子宫托来减轻子宫脱垂。最后，通过阴道子宫切除术进行脱垂的手术修复。总之，所有出现完全性子宫脱垂的患者都应进行筛查以排除尿路梗阻。如果存在梗阻性尿路病，应在发生不可逆转的肾损害之前，通过减轻或修复脱垂来缓解。
