A Case of Postrenal Acute Renal Failure due to Hemorrhagic Cystitis.
- Author:
Jin KANG
1
;
Sang Heon SONG
;
Won LIM
;
Jungmin SON
;
Eun Young SEONG
;
Dong Won LEE
;
Ihm Soo KWAK
Author Information
1. Department of Internal Medicine, Seoho Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Acute renal failure;
Radiation;
Cystitis
- MeSH:
Acute Kidney Injury;
Anemia;
Catheterization;
Catheters;
Cervix Uteri;
Cinnarizine;
Creatinine;
Cystitis;
Female;
Hematoma;
Hemorrhage;
Humans;
Inflammation;
Middle Aged;
Nephrostomy, Percutaneous;
Stents;
Urinary Bladder
- From:Korean Journal of Nephrology
2010;29(1):144-148
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hemorrhagic cystitis (HC), a serious form of cystitis, is characterized by diffuse bladder mucosal inflammation with hemorrhage. The known causes of HC are radiation, chemotherapy, drug, and infection. But, most cases happen without definite etiology. Radiation induced HC can be developed at any time from 6 months to 10 years after pelvic irradiation therapy, and can appear as late as 2 decades. The complications of HC are anemia, chronic cystitis, and acute renal failure (ARF). However, HC- induced severe postrenal ARF is rare. We experienced a case of a postrenal ARF caused by hematoma in HC. A 55-year-old woman had past history of pelvic irradiation therapy for carcinoma of the cervix 13 years ago. She was initially treated by bladder catheterization and bladder irrigation with normal saline. HC and renal function were improved. However, HC was recurred shortly after stopping irrigation and serum creatinine was elevated again. Thus, we treated this patient successfully with both percutaneous nephrostomy and antegrade double J stent catheterization.
