A Case of Renal Papillary Necrosis Associated with Diabetes Mellitus.
- Author:
Chang Dug HONG
1
;
Tae Soo CHOI
;
Do Whan AHN
Author Information
1. Department of Urology, Catholic Hospital, Taegu, Korea.
- Publication Type:Case Report
- Keywords:
Renal papillary necrosis;
Diabetes mellitus
- MeSH:
Anti-Bacterial Agents;
Diabetes Mellitus*;
Female;
Hemoglobinopathies;
Humans;
Kidney;
Middle Aged;
Necrosis*;
Pelvis;
Pyelonephritis;
Pyuria;
Ureter;
Urinary Tract;
Urography
- From:Korean Journal of Urology
1990;31(6):933-936
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Renal papillary necrosis is rare. It usually occurs in association with diabetes mellitus, pyelonephritis, urinary tract obstruction, analgesic abuse and sickle cell hemoglobinopathies. The basic pathophysiologic process in renal papillary necrosis appears to be ischemic necrosis. We experienced a case of renal papillary necrosis associated with diabetes mellitus. This 59 years old female was diabetic for 10 years and had persistent pyuria, not controlled with antibiotics. The excretory urography showed nonvisualized left kidney and retrograde pyelography showed multiple irregular filling defect in pelvis and ureter. The nephrectomized kidney showed typical findings of papillary necrosis, grossly and microscopically.
