AI Summary & Key Takeaways
AI InsightThe patient did not respond to therapy and was placed on a chronic dialysis program with a diagnosis of end-stage renal disease due to posterenal causes.
📌 3 Key Takeaways
Abstract
Uterine prolapse, common in old and multiparous women, has been reported as a rare cause of obstructive uropathy. In this case, the management of a 75-year-old female patient who presented at the outpatient clinic with a history of anuresis and diagnosed with total uterine prolapse, bilateral hydronephrosis, urinary infection and acute renal failure is presented. The renal failure clinical picture regressed with appropriate treatment. However, the patient refused surgery and chose to have a pessary implemented. Four months after dismissal, she was readmitted to the hospital with recurrent renal failure that required dialysis treatment. The patient did not respond to therapy and was placed on a chronic dialysis program with a diagnosis of end-stage renal disease due to posterenal causes.
Özet
Uterin prolapsus, yaşlı ve multipar kadınlarda yaygın olmakla birlikte obstrüktif üropatinin nedeni olarak nadiren rapor edilmiştir. Bu olguda, anüri ile müraccat eden 75 yaşında bir kadın hastada total uterin prolapsus, bilateral hidronefroz, üriner enfeksiyon ve akut böbrek yetmezliği saptanması sunulmuştur. Uygulanan tedavi sonrası böbrek yetmezliği düzelmiştir. Hasta cerrahi tedaviyi reddetmiş ve pesser tedavisini seçmiştir. Dört ay sonra hasta diyaliz gerektirir böbrek yetmezliği tablosu ile yeniden müracaat etmiştir. Hasta tedaviye cevap vermemiş ve postrenal nedenli son dönem böbrek yetmezliği tanısı ile hemodiyaliz programına alınmıştır.