Treatment of Renal Injury in a Patient Presenting Pituitary Diabetes Insipidus Associated with Bilateral Hydronephrosis: A Case Report.
- Author:
Chi Young PARK
1
;
Hong Sup KIM
Author Information
1. Department of Urology, Kon Kuk University, College of Medicine, Chung Ju, Korea.
- Publication Type:Case Report
- Keywords:
Pituitary diabetes insipidus;
Hydronephrosis;
Renal injury
- MeSH:
Contrast Media;
Cystostomy;
Diabetes Insipidus, Neurogenic*;
Dilatation;
Emergency Service, Hospital;
Hematuria;
Humans;
Hydronephrosis*;
Kidney Pelvis;
Stents;
Tomography, X-Ray Computed;
Ureter;
Urethral Stricture;
Urinary Tract;
Young Adult
- From:Korean Journal of Urology
1994;35(1):74-81
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report the case of a 24-year-old man suffering from a pituitary diabetes insipidus associated with massive urinary tract dilatation with infravesical obstruction. The patient had been admitted and diagnosed to bulbous urethral stricture in our department. Endoscopic internal urethrotomy had been performed for his urethral stricture, but his abdominal distention had not been improved. About 1 year later, he was revisited to emergency room due to painful gross total hematuria and abdominal distention after trivial abdominal blunt trauma. On the abdominal CT finding, the right renal pelvis was collapsed, from which the contrast media was extravasated. The right pyeloplasty, nephrostomy, ureteral stent indwelling and suprapubic cystostomy were performed. During immediate postoperative management, extreme fluid and electrolyte imbalances were occurred. However, we overcame these troubles using hypotonic saline and hormonal replacement. So we reported this case with literatures.
