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Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition

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Published on: June 21, 2024

A young man with polyuria and lethargy.

Salman Imtiaz¹, Shahid Qayyum, Hala Kafouri

¹King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia. salman_imtiaz@hotmail.com

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia

|July 12, 2011

Summary

A young man with polyuria and electrolyte imbalance was diagnosed with leukemia infiltrating his kidneys. Prompt fluid and electrolyte management led to recovery, highlighting an unusual presentation of hematological malignancy.

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Area of Science:

Nephrology
Hematology
Oncology

Background:

Presents a rare case of a 20-year-old male with a two-month history of polyuria, weakness, constipation, nausea, and vomiting.
Clinical examination revealed significant weight loss and mild hepatomegaly.

Observation:

Laboratory findings included hypokalemia, hypernatremia, severe metabolic acidosis, and anemia.
Abdominal ultrasound showed enlarged kidneys without hydronephrosis.
The patient experienced paralysis due to hypokalemia, which resolved with aggressive fluid and electrolyte management.

Findings:

Kidney biopsy revealed interstitial leukemic infiltration, indicating an unusual presentation of hematological malignancy.
The patient's symptoms, including polyuria and metabolic acidosis, were investigated thoroughly.

Implications:

This case underscores the importance of considering hematological malignancies in the differential diagnosis of complex renal and electrolyte disturbances.
Highlights diagnostic and management challenges associated with atypical presentations of leukemia.
Emphasizes the critical role of timely and appropriate fluid and electrolyte management in critical care settings.