Flores d'Arcais A, Meschi F, Sterpa A, Gaboardi F, di Natale B, Chiumello G
Acta Diabetol Lat. 1986 Oct-Dec;23(4):369-72.
A 10-year-old boy, in a precomatose state, was admitted to our Endocrine Unit for diabetic ketoacidosis. It took unusually long to reequilibrate the acidosis despite a bicarbonate drip. On the 4th day the patient suddenly complained of an acute abdominal pain associated with macrohematuria and oliguria; ankle edema was evident. No radio-opaque image was detected along the urinary tract. An intravenous pyelogram (IVP) showed an almost totally silent left kidney. Ten days later a control IVP showed complete normality of both kidneys. We postulated that the serious and protracted dehydration might have resulted in the formation of a blood clot along the renal tract and that the rehydration may have subsequently removed it.
一名10岁男孩，处于昏迷前期，因糖尿病酮症酸中毒入住我们的内分泌科。尽管进行了碳酸氢盐滴注，但酸中毒的重新平衡过程异常漫长。第4天，患者突然诉说急性腹痛，伴有肉眼血尿和少尿；踝关节水肿明显。尿路未检测到不透射线影像。静脉肾盂造影（IVP）显示左肾几乎完全不显影。10天后的对照IVP显示双肾完全正常。我们推测，严重且持久的脱水可能导致沿肾道形成血凝块，随后补液可能将其清除。
