Reflex anuria following acute cardiac event
Vijayabala Jeevagan1, Mitrakrishnan Navinan, Arunie Munasinghe
1University Medical Unit, National Hospital of Sri Lanka, Colombo-5, Sri Lanka.
BMC Nephrology
|May 22, 2013
Summary
Reflex anuria, a rare cause of acute kidney injury, can occur after cardiac events, especially in patients with a history of kidney stones. Prompt medical or surgical intervention can successfully manage this condition.
Area of Science:
- Nephrology
- Cardiology
- Urology
Background:
- Reflex anuria is an infrequent cause of acute renal failure.
- It typically follows irritation or manipulation of the urinary tract or pelvic organs.
Observation:
- A case of acute renal failure attributed to reflex anuria following an acute cardiac event is presented.
- The patient had a history of urolithiasis.
- Other causes of acute kidney injury were excluded.
Findings:
- Reflex anuria involves arteriolar vasoconstriction and urethral spasm.
- This condition can lead to acute renal failure.
Implications:
- Reflex anuria should be considered in the differential diagnosis of acute renal failure post-cardiac event.
- Patients with a history of urolithiasis are at higher risk.
- Medical or surgical interventions offer successful management options.
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