逆行肾盂造影术后反射性无尿：一例报告及文献复习

Reflex Anuria Following Retrograde Pyelography: A Case Report and Literature Review.

作者信息

Kanno Makoto, Tanaka Kenichi, Akaihata Hidenori, Terawaki Hiroyuki, Kazama Junichiro James

机构信息

Department of Nephrology and Hypertension, Fukushima Medical University, Japan.

Department of Urology, Fukushima Medical University, Japan.

出版信息

Intern Med. 2020 Jan 15;59(2):241-245. doi: 10.2169/internalmedicine.3069-19. Epub 2019 Sep 18.

DOI:10.2169/internalmedicine.3069-19

PMID:31534080

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7008035/

Abstract

A case of acute kidney injury due to reflex anuria that was caused by retrograde pyelography and required temporary hemodialysis is reported. An 83-year-old Japanese woman presented with anuria 2 days after undergoing bilateral retrograde pyelography for the investigation of gross hematuria. Retrograde pyelography showed no apparent abnormality, such as malignancy or urolithiasis, but pyelorenal extravasation of contrast medium was remarkable. Her anuria improved promptly after hemodialysis, allowing her treatment to conclude with only one hemodialysis session, and a normal renal function was restored with no sequelae. The details of this case and a review of the relevant literature are presented.

摘要

报告了一例因逆行肾盂造影导致反射性无尿而引发急性肾损伤且需临时血液透析的病例。一名83岁的日本女性在因肉眼血尿接受双侧逆行肾盂造影检查2天后出现无尿。逆行肾盂造影未显示明显异常，如恶性肿瘤或尿路结石，但造影剂肾盂肾外渗明显。血液透析后她的无尿症状迅速改善，仅进行一次血液透析治疗即结束，肾功能恢复正常且无后遗症。本文介绍了该病例的详细情况并对相关文献进行了综述。