Journal of Jilin University Medicine Edition ›› 2015, Vol. 41 ›› Issue (04): 854-857.doi: 10.13481/j.1671-587x.20150436

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Reflex anuria after radical hysterectomy:A case report and literature review

ZHANG Jingwen, ZHENG Lianwen, CHANG Xiaoyu, LIU Yongzheng, GAO Liwei, FU Lulu, XU Ying   

  1. Department of Obstetrics and Gynecology, Second Hospital, Jilin University, Changchun 130041, China
  • Received:2015-02-27 Published:2015-08-01

Abstract:

Objective To investigate the clinical features of reflex anuria after radical hysterectomy,and to analyze its diagnosis and treatment methods. Methods Combined with reviewing the relevant literature,the clinical data of a case of reflex anuria after radical hysterectomy in our hospital was retrospectively analyzed.This patient developed anuria of 69 h duration after radical hysterectomy in our hospital,and the serum creatinine level gradlually increased to 620.7 μmol·L-1.The patient was managed with correction of fluid and electrolyte imbalances,diuretics,and relieving the intrarenal arteriolar spasm and ureteral spasm.At the same time,the patient underwent ureteral catheterization and control of hypertension. Results By the 69th hour after undergoing radical hysterectomy in the patient,diuresis was established.The kidney function continued to improve for the remaining course of the hospitalization.The micturition and the kidney function of the patients were normal during the 4 months following-up. Conclusion Reflex anuria which is proved to cause acute kidney injury is rare in clinic,and it is easily misdiagnosed.The patients with reflex anuria can be successfully managed with medical or surgical interventions if this disease can be early diagnosis.

Key words: cervix neoplasms/diagnosis, cervix neoplasms/surgery, hysterectomy, reflex anuria

CLC Number: 

  • R737.33