Acute renal failure due to bilateral uric acid lithiasis in infants
Urological Research, cilt.35, sa.3, ss.119-122, 2007 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 35 Sayı: 3
- Basım Tarihi: 2007
- Doi Numarası: 10.1007/s00240-007-0088-2
- Dergi Adı: Urological Research
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.119-122
- Anahtar Kelimeler: acute renal failure, obstructive anuria, uric acid lithiasis, infant
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Acute renal failure (ARF) is one of the complications of urolithiasis, but the role of medical treatment to relieve urinary obstruction in children with ARF is uncertain. We report on infants with acute obstructive uric acid lithiasis. We describe presentation features as well as diagnosis methods and medical treatment in five infants who were admitted to our institution with ARF due to uric acid lithiasis. The medical treatments for all patients were fluid liberalization, urine alkalinization, and oral allopurinol. Two children underwent urinary diversion. Within 8 h, urine output improved in all patients, and the stones passed spontaneously. All obstructed kidneys were relieved with medical treatment, and no renal sequel remained. So this series has showed a role of medical therapy in acute obstructive uric acid lithiasis. © 2007 Springer-Verlag.