Author/Authors :
Mousavi Movahhed, Majid Department of Internal Medicine - Tehran University of Medical Sciences , Sabetnia, Leila Chronic Renal Failure Research Center - Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , Alemzadeh-Ansari, Mohammad Javad Faculty of Medicine - Tehran University of Medical Science , Ahmadi Halili, Shahla Chronic Renal Failure Research Center - Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , Beladi Mousavi, Seyed Seifollah Chronic Renal Failure Research Center - Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract :
Control of intake and urinary output is an important measure in the management of patients
with acute renal failure (ARF) and non-correct recordation of urinary output by nurses may
cause a severe problem in the management of these patients. The reported case was a 34-yaer-old
woman who developed ARF and anuria after hysterectomy during emergency cesarean section.
Computed tomography and serial ultrasonography of kidneys and urinary tract revealed mild
hydronephrosis. Although, our patient had anuria, but recoded urinary output by nurses was
300-350 mL/d because urinary bag has not been emptied at the end of each day. Therefore, we
thought that ARF is due to acute tubular necrosis because of severe bleeding during cesarean
section. We also interpreted that hydronephrosis is secondary to recent pregnancy. After
10 days, it was detected that the patient has not been any urinary output during this period.
Therefore the diagnosis was changed to urinary obstruction because of bilateral ureteral ligation
during hysterectomy.
Keywords :
Acute renal , failure Urinary , output Ureteral , ligation Acute tubular necrosis
