Participants in this study were patients with acute renal failure who admitted ViÖt §øc Hospital. It is found that acute nonoliguric renal failure developed in 30% of the patients. It was diagnosed by blood creatinine level as 20 mg/L or 180 micromol/L and renal failure indices RFI  2 and FeNa2. Progress and prognosis of this condition were favorable. Most of patients responded with furosemide. Only a few patients need additional hemodialysis.
Kidney Failure, Acute ; Oliguria

A 14 year old male from Quezon City Manila was admitted due to oliguria. He presented with 7 days of intermittent fever associated with malaise, photophobia with redness of the eyes. A few hours before admission, he developed repetitive vomiting with decreased urine output. He denied any muscle pain, change in his sensorium or seizure episode. He had a history of wading in flooded waters.
Oliguria ; Fever ; Photophobia

We report on a patient with matrix stone. The presenting symptoms were right flank pain and oliguria. The patient was in severe uremic condition secondary to the obstruction of the solitary kidney. A definite diagnosis was made by an exploration. However the surgical removal of stones resulted in only temporary improvement due to residual and recurrent stones. The literature is discussed.
Diagnosis ; Flank Pain ; Humans ; Kidney ; Oliguria

Fever ; Humans ; Oliguria ; diagnosis ; Recurrence ; Splenomegaly ; diagnosis

Urinary ascites in newborns is a rare event that usually is associated with posterior urethral valves and other obstructing anomalies of the genitourinary tract. A case of neonatal urinary ascites without genitourinary tract abnormalities is reported. This premature male neonate was treated by artificial ventilation due to respiratory distress syndrome. The umbilical artery catheter was placed without difficulties and functioned well until removal. Periumbilical leak of urine was not observed. He showed abdominal distension and oliguria on second postnatal day. He was found to have ascites, hyponatremia and elevation of BUN content disproportionate to the mild elevated serum creatinine value. Radiological examination revealed normal genitourinary tract except intraperitoneal extravasation of contrast material from the bladder. Conservative management resulted in complete resolution of the lesion in this patient.
Ascites* ; Catheters ; Creatinine ; Drainage* ; Humans ; Hyponatremia ; Infant, Newborn ; Male ; Oliguria ; Umbilical Arteries ; Urinary Bladder* ; Ventilation

The authors studied one case with rhabdomyolysis associated with acute renal failure, which followed acute CO intoxication. Oliguria, hyperkalemia developed within one day of rhabdomyolysis on left extremities. During the first three days of hospitalization, rapid increase in serum BUN, serum creatinine and serum muscle enzymes (CPK, LDH, GPT, GOT) were noted. Renal failure was controlled by artifiral kidney. Several areas of increased uptake of technetium-99m DP were noticed on bone scan. Electron microscopic examinations of biopsied muscle consist of disarrangement of myofibrils, loss or destruction of Z-line, difficulties in distinguishing A-band from I-band, and swelling of mitochondrias. These findings suggest that acute CO poising may be followed by severe muscle destruction and renal damage.
Acute Kidney Injury* ; Creatinine ; Extremities ; Hospitalization ; Hyperkalemia ; Kidney ; Mitochondria ; Myofibrils ; Oliguria ; Poisoning* ; Renal Insufficiency ; Rhabdomyolysis*

BACKGROUND: Patients with a prior myocardial infarction who undergo noncardiac surgery have a higher risk of perioperative morbidity and mortality. Therefore, this study was designed to assess the outcomes after non-cardiac surgery in patients who had a previous myocardial infarction. METHODS: Ninety three patients who had a prior myocardial infarction and underwent noncardiac surgery were included in this study. The patients were divided as follows: the Complication group versus the Non-Complication group. A retrospective analysis was performed to determine if age, gender, ejection fraction, prior coronary revascularization, ASA physical status, operation time and type, perioperative vital signs, cardiac risk factor, preoperative medications and coronary multivessel disease influence the perioperative morbidity and mortality. RESULTS: Fourteen of the 93 patients (15.1%) had perioperative complications, of which 3 (3.2%) were fatal. All fatal patients had undergone noncardiac surgery within 3 months after the previous coronary revascularization. The incidence of intraoperative tachycardia and oliguria, operation time and the ASA physical status were longer and greater in the Complication group (P<0.05). Otherwise there were no significant differences between the two groups. CONCLUSIONS: The incidence of intraoperative tachycardia and oliguria, the operation time and ASA physical status influence the outcomes after noncardiac surgery of patients with a prior myocardial infarction. In addition, the interval between the coronary revascularization procedure and the noncardiac surgery has a major impact on postoperative mortality. However, prospective multi-center studies will be needed to determine the effects of several variables.
Humans ; Incidence ; Mortality* ; Myocardial Infarction* ; Oliguria ; Retrospective Studies ; Risk Factors ; Tachycardia ; Vital Signs

One of the most fearful rare complication of ureteroscopic lithotripsy is sepsis. Since sepsis after endourological maneuvers usually occur immediately after procedure, it is important to pay attention to symptoms representing sepsis such as pyrexia, tachycardia, tachypnea, and oliguria. In addition to clinical symptoms, laboratory tests including white blood cell (WBC) count, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and urine and blood cultivating can help to diagnosis of sepsis. We present a case of shock after ureteroscopic lithotripsy, which was suspected with septic shock strongly.
Blood Sedimentation ; C-Reactive Protein ; Diagnosis ; Fever ; Leukocytes ; Lithotripsy* ; Oliguria ; Sepsis ; Shock* ; Shock, Septic ; Tachycardia ; Tachypnea

BACKGROUND: An ominous sign is the oliguria frequently observed during an anesthesia. In order to elucidate the causes of oliguria during early stages of anesthesia, we observed renin, aldosterone, antidiuretic hormone (ADH), creatinine clearance (Ccr), fractional excretion of sodium (FeNa) and free water clearance (CH2O) before and 1 hour after anesthesia. METHODS: Twenty-four patients (ASA physical status I II) 20 to 60 years of age scheduled for elective surgery of low risk were anesthetized with N2O/O2/enflurane. According to the urine volume, we divided the patients into two groups (oliguria group and control group). The criteria for the oliguria group was urine volume less than 0.25 ml/kg during the first 30 minutes. Eleven patients were allocated to the oliguria group. Blood samples for sodium, creatinine, osmolality, renin, aldosterone, ADH and urine samples for sodium, creatinine and osmolality were collected before anesthesia and 1 hour after anesthesia. Ccr, FeNa and CH2O were calculated with equations. RESULTS: Before anesthesia, urine sodium (mEq/L), creatinine (mg/dl) and osmolality (mOsm/kgH2O) were significantly higher in the oliguria group than in the control group (153.4+/-15.8 vs 107.2+/-14.9, 75.5+/-10.9 vs 48.2+/-8.7, 543.7+/-27.5 vs 380.1+/-49.1, P< 0.05). Before anesthesia, ADH (pg/ml) was significantly higher in the oliguria group than in the control group (9.4+/- 3.6 vs 1.9+/-0.5, P< 0.05). One hour after anesthesia, urine sodium, creatinine and osmolality were significantly higher in the oliguria group than in the control group (170.1+/-14.6 vs 46.7+/-6.5, 71.1+/-6.9 vs 15.0+/-2.5, 557.5+/-27.5 vs 176.9+/-17.9, P< 0.05). CH2O (ml/hr) was significantly lower in the oliguria group than in the control group (-46.4+/-7.5 vs 112.5+/-23.9, P< 0.05). CONCLUSIONS: Our results suggest that the main cause of oliguria is dehydration during the early stages of anesthesia, so before anesthesia, appropriate hydration with free water is necessary to avoid oliguria.
Aldosterone ; Anesthesia* ; Creatinine ; Dehydration ; Humans ; Oliguria* ; Osmolar Concentration ; Renin ; Sodium ; Water

We reported a case of hemolytic transfusion reaction producing acute renal failure due to Anti-Jkb in a 35-year-old man with septic hip in post-operative state. At first, he received 7 units of packed red blood cells one month before admission, 2 units for hematuria 7 days before, and with 2 units just one day before the admission. He complained of symptoms and signs accounting for acute hemolytic transfusion reaction with chilling, hematuria, and oliguria. In this case, it seems that the patient acquired unexpected antibody by the episode of transfusion one month ago. He received another transfusion with similar episode of transfusion reaction. His transfusion was repeated and even more severe hemolytic transfusion reaction was presented, leading to acute renal failure.
Acute Kidney Injury* ; Adult ; Blood Group Incompatibility* ; Erythrocytes ; Hematuria ; Hip ; Humans ; Oliguria