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ACUTE RENAL FAILURE IN A PATIENTS WITH KOCK POUCH Takehisa Yoneyama 1 , Kazumichi Misawa 1 , Takashi Tsuruta 1 , Yoshihiro Inoue 1 , Toshikazu Okaneya 1 1Division of Urology, Matsumoto National Hospital Keyword: 急性腎不全 , 尿路変更 pp.261-263
Published Date 1988/3/20
DOI https://doi.org/10.11477/mf.1413204704
  • Abstract
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A 54-year-old man who had undergone construction of Kock's continent reservoir 11 months before developed oliguria and right flank pain. Antegrade pyelography showed dilatation of the afferent valve. This procedure was followed by smooth excretion of urine from the pouch. One month later the patient again developed oliguria. Endoscopy of the pouch confirmed that an abundant amount of mucus was pushed out from the afferent valve by infusion of saline into the nephrostomy. Then, diuresis recovered. A deformity of the afferent nipple valve would have caused accumulation of intestinal mucus leading to postrenal oliguria.


Copyright © 1988, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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