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KMID : 0377619760310050489
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Korean Jungang Medical Journal
1976 Volume.31 No. 5 p.489 ~ p.491
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A Case of Calculous Anuria due to Bilateral Ureteral Stones
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Abstract
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Calculous anuria is one of the complications of upper urinary tract calculi and may be caused by mechanical obstruction at some point of the tract, renal insufficiency, and a combination of obstructive and renal factors.
The clinical features may vary from a complete absence of symptom to the time when the patient observes he could not pass urine.
An immediate roentgenogram and catheterization of the ureters in an attempt to restore the excretion of urine are always recommended and in from 50 to 55 per cent of the patients the calculus is expelled.
Even if anuria recurs after withdrawal of the catheter, the patient is in better condition for surgical intervention as a result of the removal of accumulated nitrogenous waste products.
Uric acid calculi comprise from 3.5 to 4 percent of urinary calculi.
A low purine diet, allopurinol and alkalinization of urine are proved very effective in management of it.
Recently we have experienced a case of calculous anuria due to bilateral ureteral stones in 41 years old man and present it with the review of the literatures.
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