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Ascites, a new cause for bilateral hydronephrosis: case report.
Deepika Jain1, Smrita Dorairajan, Madhukar Misra
1Department of Internal Medicine-Nephrology, University of Missouri, Columbia and Harry S Truman VA Hospital, Columbia, Missouri, USA. jaind@health.missouri.edu
Thescientificworldjournal
|October 6, 2009
Summary
Bilateral hydronephrosis, a condition causing kidney damage due to urinary obstruction, can be reversed. Large-volume paracenteses effectively resolved hydronephrosis and improved renal function in a patient with cirrhosis and ascites.
Area of Science:
- Nephrology
- Gastroenterology
- Urology
Background:
- Bilateral hydronephrosis can impair renal function due to urinary obstruction and back pressure.
- Alcoholic liver cirrhosis can lead to complications such as tense ascites and acute renal failure.
Observation:
- A 57-year-old male with alcoholic liver cirrhosis presented with tense ascites and acute renal failure.
- Abdominal ultrasound revealed bilateral hydronephrosis.
Findings:
- Multiple large-volume paracenteses were performed to manage the ascites.
- These procedures led to the resolution of bilateral hydronephrosis.
Implications:
- Prompt improvement in renal function was observed following the resolution of hydronephrosis.
- This case highlights the potential for managing renal impairment secondary to ascites-induced urinary obstruction.
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