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KMID : 0359920070260030373
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Korean Journal of Nephrology
2007 Volume.26 No. 3 p.373 ~ p.377
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Bilateral Hydronephrosis Caused by Huge Uterine Myoma
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Park Ye-Ree
Song Joon-Ho
Lee Jeong-Hwa
Park Shin-Ae
Kim Jin-Young
Yang Chul-Woo
Kim Yong-Soo
Bang Byung-Kee
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Abstract
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A 67-year old woman was admitted due to left femur neck fracture. Pre-operative laboratory data revealed azotemia, and kidney ultrasonogram and pelvis MRI showed bilateral hydronephrosis and huge uterine myoma. On past history, she had uterine myoma since her thirties, but she refused to undergo operation. We initially planned percutaneous nephrostomy (PCN). After stabilization of renal function, we performed subsequent total hysterectomy after insertion of catheters on both ureters, and PCN catheters were removed after confirming that both ureteral catheters worked well. During follow up period of two months after PCN, renal function was gradually improved, but it was not normalized. Size of removed myoma was about 25×15 cm, and histopathologic findings were consistent with leiomyoma. In conclusion, myoma uteri is one of the rare causes of bilateral hydronephrosis, and it may lead to irreversible damage to kidney if left untreated for a long time.
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KEYWORD
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Myoma, Hydronephrosis, Chronic renal failure
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