Thrombotic microangiopathy in advanced prostatic carcinoma

We report a case of acute renal failure in a man with medically treated advanced prostate carcinoma. Imaging suggested renal tract obstruction as the cause; however, the patient failed to respond to treatment with dialysis and bilateral nephrostomy insertion. Postmortem examination revealed the rena...

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Veröffentlicht in:	Urology (Ridgewood, N.J.) N.J.), 2004-02, Vol.63 (2), p.380-382
Hauptverfasser:	Biers, Suzanne M, Sullivan, Mark E, Roberts, Ian S.D, Noble, Jeremy G
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Kidney Injury - etiology Adenocarcinoma - complications Adenocarcinoma - pathology Anemia - etiology Diagnostic Errors Fatal Outcome Hemolytic-Uremic Syndrome - diagnosis Hemolytic-Uremic Syndrome - etiology Humans Hydronephrosis - etiology Kidney Glomerulus - pathology Male Nephrostomy, Percutaneous Prostatic Neoplasms - complications Prostatic Neoplasms - pathology Renal Dialysis Thrombocytopenia - etiology Ureteral Obstruction - diagnosis
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Beschreibung
Zusammenfassung:	We report a case of acute renal failure in a man with medically treated advanced prostate carcinoma. Imaging suggested renal tract obstruction as the cause; however, the patient failed to respond to treatment with dialysis and bilateral nephrostomy insertion. Postmortem examination revealed the renal failure to have been due to severe thrombotic microangiopathy.
ISSN:	0090-4295 1527-9995
DOI:	10.1016/j.urology.2003.09.069