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Der Internist Feb 1998
Review
Topics: Adult; Anuria; Child; Critical Care; Diagnosis, Differential; Emergency Medical Services; Humans; Monitoring, Physiologic; Oliguria
PubMed: 9556733
DOI: 10.1007/s001080050158 -
International Urology and Nephrology Feb 2014Reflex anuria (RA) was defined by Hull as cessation of urine output from both kidneys due to irritation or trauma to one kidney or its ureter, or severely painful... (Review)
Review
Reflex anuria (RA) was defined by Hull as cessation of urine output from both kidneys due to irritation or trauma to one kidney or its ureter, or severely painful stimuli to other organs. This is not a common concept among urologists or nephrologists even though it has been proposed for more than half a century. The phenomenon has not been thoroughly understood. But intrarenal arteriolar spasm and ureteral spasm have gained wide acceptance as the mechanisms of RA. The present review summarized papers published up to now on RA, in order to depict the general profile of the disease and to further elucidate the pathogenesis of RA. A classification system of RA was proposed as neurovascular reflex, ureterorenal reflex, radiated renovascular reflex, renoureteral reflex, ureteroureteral reflex and radiated ureteral reflex, based on the two assumed mechanisms and the stimulus' origins. All these types except renoureteral reflex had gained supporting evidence from animal experiments and/or clinical case reports. RA is a diagnosis of exclusion, only being considered after ruling out common and tangible etiologies such as ureteral calculi, acute tubular necrosis, renal vascular occlusion, hypovolemia, infection, etc. If the diagnosis has been established, treatment plan should be directed toward the mechanisms more than the causative factors. Abnormalities of the autonomic nerve system and congenital urogenital malformations incline people to RA. In summary, RA is a cessation of urine production caused by stimuli on kidney, ureter or other organs, through a mechanism of reflex spasm of intrarenal arterioles or ureters, leading to acute renal failure. It is a functional rather than parenchymal disease.
Topics: Anuria; Diagnosis, Differential; Humans; Reflex; Spasm
PubMed: 23979816
DOI: 10.1007/s11255-013-0541-9 -
BJU International Sep 2011
Topics: Acute Kidney Injury; Anuria; Clinical Laboratory Techniques; Diagnostic Imaging; Humans; Postoperative Complications; Reflex, Abnormal; Spasm; Ureteral Diseases
PubMed: 21884352
DOI: 10.1111/j.1464-410X.2011.10560.x -
Pediatric Emergency Care Aug 2016Anuria in children may arise from a host of causes and is a frequent concern in the emergency department. This review focuses on differentiating common causes of... (Review)
Review
Anuria in children may arise from a host of causes and is a frequent concern in the emergency department. This review focuses on differentiating common causes of obstructive and nonobstructive anuria and the role of point-of-care ultrasound in this evaluation. We discuss some indications and basic techniques for bedside ultrasound imaging of the urinary system.
Topics: Acute Disease; Anuria; Child; Child, Preschool; Diagnosis, Differential; Female; Humans; Male; Pediatric Emergency Medicine; Point-of-Care Systems; Ultrasonography
PubMed: 27490729
DOI: 10.1097/PEC.0000000000000871 -
Lancet (London, England) Oct 1953
Topics: Anuria; Humans
PubMed: 13098119
DOI: 10.1016/s0140-6736(53)90552-2 -
Journal of Endourology Mar 2012In an attempt to reduce iatrogenic ureteral injury, urologists are frequently called on for placement of prophylactic ureteral catheters in difficult pelvic surgeries.... (Review)
Review
In an attempt to reduce iatrogenic ureteral injury, urologists are frequently called on for placement of prophylactic ureteral catheters in difficult pelvic surgeries. Reflux anuria, which may be more appropriately termed catheter-induced obstructive anuria, has been reported as a complication of ureteral catheter placement and is characterized by the absence of urine output after ureteral manipulation because of edema and obstruction. We report a case of obstructive anuria after bilateral ureteral catheter removal and review the literature regarding this rare complication. Medline was searched for all relevant case reports, case series, and trials that included prophylactic ureteral catheters and described complications of their use. Published series report varying incidence of obstructive anuria after prophylactic ureteral catheter removal from 0% to 7.6%. There are no proven strategies for prevention of obstructive anuria after prophylactic ureteral catheter removal, but staged removal has shown a trend toward reduced incidence. When encountered, most cases of anuria after catheter removal resolved with medical management alone; however, indwelling stent placement has been advocated while ureteral edema resolves.
Topics: Anuria; Device Removal; Humans; Male; Middle Aged; Ureter; Urinary Catheterization; Vesico-Ureteral Reflux
PubMed: 22192094
DOI: 10.1089/end.2011.0311 -
Duodecim; Laaketieteellinen... 1974
Review
Topics: Acute Disease; Acute Kidney Injury; Adult; Aged; Anuria; Humans; Kidney Glomerulus; Kidney Tubules; Peritoneal Dialysis; Regional Blood Flow; Renal Dialysis; Water-Electrolyte Balance
PubMed: 4609737
DOI: No ID Found -
British Medical Journal Jul 1952
Topics: Anuria; Humans
PubMed: 14935334
DOI: No ID Found -
Lancet (London, England) Jul 1952
Topics: Anuria; Humans
PubMed: 14939811
DOI: No ID Found -
Internal Medicine (Tokyo, Japan) Jan 2020A case of acute kidney injury due to reflex anuria that was caused by retrograde pyelography and required temporary hemodialysis is reported. An 83-year-old Japanese...
A case of acute kidney injury due to reflex anuria that was caused by retrograde pyelography and required temporary hemodialysis is reported. An 83-year-old Japanese woman presented with anuria 2 days after undergoing bilateral retrograde pyelography for the investigation of gross hematuria. Retrograde pyelography showed no apparent abnormality, such as malignancy or urolithiasis, but pyelorenal extravasation of contrast medium was remarkable. Her anuria improved promptly after hemodialysis, allowing her treatment to conclude with only one hemodialysis session, and a normal renal function was restored with no sequelae. The details of this case and a review of the relevant literature are presented.
Topics: Acute Kidney Injury; Aged, 80 and over; Anuria; Contrast Media; Female; Hematuria; Humans; Renal Dialysis; Urography
PubMed: 31534080
DOI: 10.2169/internalmedicine.3069-19