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Anuria and acute kidney injury: an uncommon case of bilateral synchronous ureteric calculi (Record no. 76085)

MARC details
000 -LEADER
fixed length control field 02106cam a2200205 4500
001 - CONTROL NUMBER
control field NMDX7083
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fixed length control field 120401t2016 xxu||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Almpanis, S.
240 ## - UNIFORM TITLE
Uniform title <a href="American Journal of Emergency Medicine">American Journal of Emergency Medicine</a>
245 ## - TITLE STATEMENT
Title Anuria and acute kidney injury: an uncommon case of bilateral synchronous ureteric calculi
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. 2016
500 ## - GENERAL NOTE
General note NMUH Staff Publications
500 ## - GENERAL NOTE
General note 34
520 ## - SUMMARY, ETC.
Summary, etc. Nephroureterolithiasis is the third most common pathology of the urinary tract affecting 12% of male and 6% of female whites, with a recurrence rate of 50% within 10 years. The incidence of unilateral ureteric calculi is 20%; however, the presentation of bilaterial synchronous ureteric calculi is uncommon. A 37 year old man presented with left loin pain and the absence of urine output. Fifteen years previously, he had a percutaneous nephrolithotomy. Examination revealed left flank tenderness. Serum blood markers demonstrated an acute kidney injury with a creatinine of 307 umol/L and estimated glomerular filtration rate of 20 mL/min per 1.73 m2. An urgent non contrst computer tomography kidneys ureter and bladder (CTKUB) illustrated bilateral hydronephroureterosis caused by a 12 x 5 mm calculus in the right distal ureter and a 4 x 4 mm calculus in the left distal ureter. Emergency bilateral retrograde uretic stenting was performed to allow for decompression and drainage. Four weeks later he returned for bilateral rigid ureteroscopy and laser stone fragmentation. The encrusted stents were crushed with forceps before removal and replacement. The case is uncommon for 2 reasons: anuria in a young patient and bilaterial synchronous ureteric calculi. It is important to keep this as a differential diagnosis for an obstructive uropathy causing acute kidney injury as it is a urological emergency requiring prompt specialist referral to preserve renal function.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Bell, D.J.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Carey, G.
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Personal name Vadhwana, B.
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://www.ncbi.nlm.nih.gov/pubmed/27241565">https://www.ncbi.nlm.nih.gov/pubmed/27241565</a>
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://ferriman.wufoo.com/forms/journal-article-request/">http://ferriman.wufoo.com/forms/journal-article-request/</a>
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        Staff publications for NMDX Ferriman Information and Library Service (North Middlesex) Ferriman Information and Library Service (North Middlesex) Online 07/06/2022   07/06/2022 07/06/2022 UNKNOWN