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[Bilateral nephrectomy--a life-saving procedure]
J Schraml1, J Knespl, R Splechtna
1Urologické oddĕlení, Masarykova nemocnice, Ustí nad Labem.
Summary
A rare complication following urodynamic examination led to bilateral nephrectomy to save a patient with severe kidney infection and multi-organ failure. The patient survived and is now undergoing dialysis and awaiting a kidney transplant.
Area of Science:
- Nephrology
- Urology
- Critical Care Medicine
Background:
- Invasive urodynamic examinations can rarely lead to severe complications.
- Bilateral acute abscessing pyelonephritis is a life-threatening kidney infection.
- Pseudomonas urosepsis can cause shock and multi-organ failure.
Observation:
- A patient presented with shock and multi-organ failure secondary to bilateral acute abscessing pyelonephritis.
- The condition was a complication following an invasive urodynamic examination.
- Complete bilateral nephrectomy was performed to remove the source of infection.
Findings:
- The patient's condition dramatically improved after the removal of both kidneys.
- The patient survived the critical illness.
- The patient is now participating in a dialysis-transplantation program.
Implications:
- Bilateral nephrectomy can be a life-saving procedure in extreme cases of severe kidney infection and sepsis.
- This case highlights the importance of prompt and aggressive management in life-threatening urological emergencies.
- Successful management underscores the potential for recovery and integration into renal replacement therapy programs even after radical kidney surgery.