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Nephrol Dial Transplant (2001) 16: 1713-1715
© 2001 European Renal Association-European Dialysis and Transplant Association

Nephroquiz for the Beginner

Acute renal failure in a single kidney with previous obstruction

(Section Editor: M. G. Zeier)

Gabriella Moroni, Gustavo Greloni* and Gianmarco Podda

Divisione di Nefrologia e Dialisi IRCCS Ospedale Maggiore Milano Italy

Case

A 68-year-old man was admitted to our unit in January 1996 because of acute renal failure. The patient had been a heavy smoker for more than 40 years. In 1986, he underwent bilateral ureterolysis because of hydronephrosis caused by retroperitoneal fibrosis. One year later an abdominal computerized tomography (CT) showed a non-functioning atrophic right kidney.

In 1995, the patient underwent cystectomy with bilateral percutaneous nephrostomy because of invasive transitional cell carcinoma. During the following 6 months he experienced two episodes of reversible anuria due to left nephrostomic obstructions. In November, his plasma creatinine level was 1.4 mg/dl. At the end of December 1995 he developed a sore throat and fever. A few days later he . . . [Full Text of this Article]

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