The endless differential diagnosis of acute obstructive renal failure: unusual challenges for the sharp-sighted clinician

Hemda Rosenblum; Yaron Bar-Dayan; Zamir Dovrish; Sylvia Lew; Noemi Weisenberg; Avivit Neumann; Tzvi Klein; Howard Amital

The endless differential diagnosis of acute obstructive renal failure: unusual challenges for the sharp-sighted clinician

Isr Med Assoc J. 2010 May;12(5):280-2.

Authors

Hemda Rosenblum¹, Yaron Bar-Dayan, Zamir Dovrish, Sylvia Lew, Noemi Weisenberg, Avivit Neumann, Tzvi Klein, Howard Amital

Affiliation

¹ Department of Medicine D, Meir Medical Center, Kfar Saba, Israel.

PMID: 20929080

Abstract

Obstruction of urine outflow can result from mechanical blockade as well as from functional defects. In adults, urinary tract obstruction is due mainly to acquired defects, such as pelvic tumors, calculi, and urethral stricture. In childhood it is mostly due to congenital malformations. In this article we present two rare cases of acute obstructive renal failure that presented with hydronephrosis. These cases underline the wide range of causes that may lead to this clinical feature.

Publication types

Case Reports

MeSH terms

Abnormalities, Multiple / diagnosis*
Acute Kidney Injury / complications
Acute Kidney Injury / diagnosis*
Aged, 80 and over
Carcinoma, Signet Ring Cell / complications
Carcinoma, Signet Ring Cell / diagnosis*
Carcinoma, Signet Ring Cell / pathology
Diagnosis, Differential
Fatal Outcome
Female
Humans
Hydronephrosis / complications
Hydronephrosis / diagnosis
Kidney / diagnostic imaging
Kidney / pathology
Middle Aged
Stomach Neoplasms / complications
Stomach Neoplasms / diagnosis*
Stomach Neoplasms / pathology
Tomography, X-Ray Computed
Ureteral Obstruction / complications
Ureteral Obstruction / congenital
Ureteral Obstruction / diagnosis
Urinary Bladder Neoplasms / diagnosis*
Urinary Bladder Neoplasms / secondary
Urogenital Abnormalities / complications
Urogenital Abnormalities / diagnosis*