Nondilated obstructive uropathy
Four patients presented with severe renal failure secondary to urinary tract obstruction, yet ultrasonography and/or computed tomography revealed only minimal dilatation in 1 patient and no dilatation in the other three. Two patients had prostate cancer, one had bladder cancer, and one had retroperi...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 1988-06, Vol.31 (6), p.478-482 |
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| container_end_page | 482 |
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| container_title | Urology (Ridgewood, N.J.) |
| container_volume | 31 |
| creator | Spital, Aaron Valvo, John R. Segal, Arthur J. |
| description | Four patients presented with severe renal failure secondary to urinary tract obstruction, yet ultrasonography and/or computed tomography revealed only minimal dilatation in 1 patient and no dilatation in the other three. Two patients had prostate cancer, one had bladder cancer, and one had retroperitoneal fibrosis. In all cases, relief of obstruction led to a dramatic improvement in renal function. These cases, and others in the literature, illustrate that in certain settings severe urinary tract obstruction may be present in the absence of dilatation and hence may be missed by noninvasive imaging techniques. Nondilated obstructive uropathy should be suspected in any elderly patient who presents with the acute onset of oliguria in the absence of an identifiable cause, especially if there is a previous history of malignancy in the pelvis. Left undiagnosed, this potentially reversible cause of renal failure can lead to end-stage renal disease. |
| doi_str_mv | 10.1016/0090-4295(88)90211-7 |
| format | Article |
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Two patients had prostate cancer, one had bladder cancer, and one had retroperitoneal fibrosis. In all cases, relief of obstruction led to a dramatic improvement in renal function. These cases, and others in the literature, illustrate that in certain settings severe urinary tract obstruction may be present in the absence of dilatation and hence may be missed by noninvasive imaging techniques. Nondilated obstructive uropathy should be suspected in any elderly patient who presents with the acute onset of oliguria in the absence of an identifiable cause, especially if there is a previous history of malignancy in the pelvis. 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Two patients had prostate cancer, one had bladder cancer, and one had retroperitoneal fibrosis. In all cases, relief of obstruction led to a dramatic improvement in renal function. These cases, and others in the literature, illustrate that in certain settings severe urinary tract obstruction may be present in the absence of dilatation and hence may be missed by noninvasive imaging techniques. Nondilated obstructive uropathy should be suspected in any elderly patient who presents with the acute onset of oliguria in the absence of an identifiable cause, especially if there is a previous history of malignancy in the pelvis. Left undiagnosed, this potentially reversible cause of renal failure can lead to end-stage renal disease.</description><subject>Acute Kidney Injury - diagnosis</subject><subject>Acute Kidney Injury - etiology</subject><subject>Acute Kidney Injury - pathology</subject><subject>Adenocarcinoma - complications</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoma - complications</subject><subject>Carcinoma, Squamous Cell - complications</subject><subject>Humans</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Prostatic Neoplasms - complications</subject><subject>Retroperitoneal Fibrosis - complications</subject><subject>Tomography, X-Ray Computed</subject><subject>Ultrasonography</subject><subject>Urinary Bladder Neoplasms - complications</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><subject>Urologic Diseases - diagnosis</subject><subject>Urologic Diseases - etiology</subject><subject>Urologic Diseases - pathology</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPwzAQhC0EKqXwD0BwQAgOgbUTvy5IqOIlVXCBs-XYG2GUNsVOKvXfk9KoR057mG9GO0PIKYVbClTcAWjICqb5tVI3GhilmdwjY8qZzLTWfJ-Md8ghOUrpGwCEEHJERjlTUhZsTM7fmoUPtW3RXzRlamPn2rDCiy42S9t-rY_JQWXrhCfDnZDPp8eP6Us2e39-nT7MMpcr0WaFrjyTtNKgUFDk3hXghc9BKM9B6tKVNueOlpgrz1wluWXKybKqgKOymE_I1TZ3GZufDlNr5iE5rGu7wKZLRipWKMhZDxZb0MUmpYiVWcYwt3FtKJjNLmZT2mxKG6XM3y5G9razIb8r5-h3pmGIXr8cdJucratoFy6kHSYlKKl0j91vMey3WAWMJrmAC4c-RHSt8U34_49fHvN91Q</recordid><startdate>19880601</startdate><enddate>19880601</enddate><creator>Spital, Aaron</creator><creator>Valvo, John R.</creator><creator>Segal, Arthur J.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19880601</creationdate><title>Nondilated obstructive uropathy</title><author>Spital, Aaron ; Valvo, John R. ; Segal, Arthur J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-49fd271f908e61e5dc40d6d3068d5079bcba35c1be38d2cf75a28c7bff05e8ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Acute Kidney Injury - diagnosis</topic><topic>Acute Kidney Injury - etiology</topic><topic>Acute Kidney Injury - pathology</topic><topic>Adenocarcinoma - complications</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carcinoma - complications</topic><topic>Carcinoma, Squamous Cell - complications</topic><topic>Humans</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Prostatic Neoplasms - complications</topic><topic>Retroperitoneal Fibrosis - complications</topic><topic>Tomography, X-Ray Computed</topic><topic>Ultrasonography</topic><topic>Urinary Bladder Neoplasms - complications</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>Urologic Diseases - diagnosis</topic><topic>Urologic Diseases - etiology</topic><topic>Urologic Diseases - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spital, Aaron</creatorcontrib><creatorcontrib>Valvo, John R.</creatorcontrib><creatorcontrib>Segal, Arthur J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spital, Aaron</au><au>Valvo, John R.</au><au>Segal, Arthur J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nondilated obstructive uropathy</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>1988-06-01</date><risdate>1988</risdate><volume>31</volume><issue>6</issue><spage>478</spage><epage>482</epage><pages>478-482</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>Four patients presented with severe renal failure secondary to urinary tract obstruction, yet ultrasonography and/or computed tomography revealed only minimal dilatation in 1 patient and no dilatation in the other three. Two patients had prostate cancer, one had bladder cancer, and one had retroperitoneal fibrosis. In all cases, relief of obstruction led to a dramatic improvement in renal function. These cases, and others in the literature, illustrate that in certain settings severe urinary tract obstruction may be present in the absence of dilatation and hence may be missed by noninvasive imaging techniques. Nondilated obstructive uropathy should be suspected in any elderly patient who presents with the acute onset of oliguria in the absence of an identifiable cause, especially if there is a previous history of malignancy in the pelvis. Left undiagnosed, this potentially reversible cause of renal failure can lead to end-stage renal disease.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3287742</pmid><doi>10.1016/0090-4295(88)90211-7</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0090-4295 |
| ispartof | Urology (Ridgewood, N.J.), 1988-06, Vol.31 (6), p.478-482 |
| issn | 0090-4295 1527-9995 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Acute Kidney Injury - diagnosis Acute Kidney Injury - etiology Acute Kidney Injury - pathology Adenocarcinoma - complications Aged Biological and medical sciences Carcinoma - complications Carcinoma, Squamous Cell - complications Humans Lymphatic Metastasis Male Medical sciences Middle Aged Nephrology. Urinary tract diseases Prostatic Neoplasms - complications Retroperitoneal Fibrosis - complications Tomography, X-Ray Computed Ultrasonography Urinary Bladder Neoplasms - complications Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland Urologic Diseases - diagnosis Urologic Diseases - etiology Urologic Diseases - pathology |
| title | Nondilated obstructive uropathy |
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