HİDRONEFROZ OLMADAN POST RENAL AKUT BÖBREK YETMEZLİĞİ / POST RENAL ACUTE KIDNEY FAILURE WITHOUT HYDRONEPHROSIS

Yıl 2015, Cilt: 37 Sayı: 2, - , 25.12.2015

İlter Bozacı , Garip Şahin Aydın Yenilmez

Öz

Özet: Akut böbrek yetmezliği, temel olarak 3 kısma ayrılmakla birlikte en sık neden pre-renal nedenler iken post-renal nedenler %5 kadar olguda görülmektedir. Post-renal nedenler büyük oranda görüntüleme yöntemleri ile saptanabilmekle birlikte nadir de olsa bazı olgularda görüntülemenin tamamen normal olduğu vakalar da görülebilmektedir. Bizim vakamız, erken dönemde üriner sistem obstrüksiyonuna ait görüntüleme bulgusu olmayan olguda post-renal bir neden saptanıp hızla müdahale edilerek olası bir böbrek hasarının önüne geçilebilmiş olması sebebiyle önem arz etmektedir.

ANAHTAR KELİMELER: Postrenal, Akut Böbrek Yetmezliği, Hidronefroz

 

POST RENAL ACUTE KIDNEY FAILURE WITHOUT HYDRONEPHROSIS

Abstract: Acute renal failure can basicly be classified as prerenal, renal and postrenal conditions. While prerenal conditions are the most common causes, post renal conditions can be seen at %5 cases. Post renal conditions can usually be diaognosed by screening methods but rarely there are some cases at which screening results are completely normal. Our case is clinically important and rare because we prevented developing end stage renal disease by early diagnose and treatment at a patient with post renal acute renal failure and completely normal screening results at the beginning.

KEYWORDS: Postrenal, Acute Kidney Failure, Hydronephrosis

Anahtar Kelimeler

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Kaynakça

• Lameire, N. Van Bieden, W. Vanholder, R. (2005). Acute renal failure. Lancet KDIGO; 365(9457):417-430.
• KDIGO (2012). Clinical Practice Guideline for Acute Kidney Injury, Volume 2, Issue 1, March.
• Brady, H.R. Singer, G.G. (1995). Acute renal failure. Lancet. 346:1533-1540.
• Better, O.S. Arieff, A.F. Massry, S.G. Kleeman, C.R. Maxwell, M.H. (1973). Studies on renal function after relief of complete unilateral ureteral obstruction of three months duration in man. Am J Med. 54:234.
• Shapiro, S.R. Bennett, A.H. (1976). Recovery of renal function after prolonged unilateral ureteral obstruction. J Urol. 115:136-140.
• Rascoff JH, Golden RA, Spinowitz BS, Charytan C. (1983). Nondilated obstructive nephropathy. (143):696. Med 1983;
• Sacks, S.H. Aparicio, S.A. Bevan, A. Oliver, D.O. Will, E.J. Davison, A.M. (1989). Late renal failure due to prostatic outflow obstruction: A preventable disease. BMJ. 298:156.
• Bander. S.J. Buerkert, J.E. Martin, D. Klahr, S. (1985). Long-term effects of 24-hr unilateral ureteral obstruction on renal function in the rat. Kidney Int 1985. 28:614.