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[Acute obstructive renal failure. Analysis of 28 cases]
M Benghanem Gharbi1, B Ramdani, K Hachim
1Service de Néphrologie-Hémodialyse, CHU Ibn-Rochd, Casablanca, Maroc.
Journal D'Urologie
|January 1, 1996
Summary
Acute obstructive renal failure in 28 patients was studied. Kidney stones caused higher mortality but better recovery, while cancer led to chronic renal failure.
Area of Science:
- Nephrology
- Urology
Background:
- Acute obstructive renal failure (AORF) is a critical condition requiring prompt diagnosis and management.
- Understanding the clinical, etiological, and therapeutic aspects of AORF is essential for improving patient outcomes.
Purpose of the Study:
- To investigate the clinical, etiological, therapeutic, and evolutive aspects of acute obstructive renal failure.
- To analyze the outcomes of AORF based on its underlying causes.
Main Methods:
- Retrospective study of 28 patients hospitalized with AORF between 1988 and 1995.
- Data collected included patient demographics, symptoms, diagnostic findings, treatments, and outcomes.
Main Results:
- The primary symptoms were anuria (85%) and lumbar pain (75%), with a mean consultation delay of 42 days.
- The main causes of obstruction were kidney stones (19 cases), cancer (8 cases), and retroperitoneal fibrosis (1 case).
- Lithiasic AORF had higher short-term mortality (15.5%) but better renal function restoration (69.5%), while neoplastic AORF had no short-term mortality but frequently progressed to chronic renal failure.
Conclusions:
- Acute obstructive renal failure presents with diverse clinical features and etiological factors.
- Timely and appropriate treatment, tailored to the cause, is crucial for managing AORF and preventing long-term complications.
- Nephrolithiasis and malignancy represent significant causes of AORF, each with distinct prognostic implications.