Skip Navigation


NDT Plus Advance Access originally published online on July 22, 2009
NDT Plus 2009 2(5):387-389; doi:10.1093/ndtplus/sfp093
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
2/5/387    most recent
sfp093v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Onuigbo, M. A. C.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Symptomatic uraemia from bilateral obstructive uropathy secondary to metastatic urinary bladder cancer showing only unilateral hydronephrosis: a case report

Macaulay A. C. Onuigbo1,2,3

1 College of Medicine, Mayo Clinic, Rochester, MN
2 Department of Nephrology, Midelfort Clinic, Mayo Health System, 1221 Whipple Street, Eau Claire
3 Mayo Health System Practice-Based Research Network (MHS PBRN), Mayo Clinic, Rochester, MN, WI 54702, USA

Correspondence: Correspondence and offprint requests to: Macaulay A. C. Onuigbo; E-mail: onuigbo.macaulay{at}mayo.edu


  Abstract

Bilateral hydronephrosis is classic for supravesical obstructive uropathy causing uraemia with dual functioning kidneys. Recently, a patient presented with uraemia and metastatic urinary bladder carcinoma but only unilateral right-sided hydronephrosis. A right ureteral stent was placed retrograde and no further intervention was planned since the left kidney appeared normal, and since the left ureteric orifice was not visualized. We insisted on a left percutaneous nephrostomy which was successful with prompt urine return. A left nephrostogram revealed unrecognized hydroureter/hydronephrosis. Following haemodialysis, kidney function normalized at 3 weeks. For symptomatic uraemia from obstruction, an antegrade and/or a retrograde decompression must be attempted bilaterally to improve renal salvage.

Key Words: metastatic urinary bladder cancer • nondilated obstructive uropathy • unilateral hydronephrosis • uraemia

Received for publication June 25, 2009. Accepted for publication June 30, 2009.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.