Open AccessRapid onset renal deterioration in an adult with silent ureteropelvic junction obstruction
Author(s) -
Nicholas J. Hellenthal,
Sasha A Thomas,
Roger K. Low
Publication year - 2009
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.45553
Subject(s) - medicine , ureteropelvic junction , asymptomatic , diuretic , kidney , urology , kidney disease , surgery , hydronephrosis , urinary system
We report a case of a rapid renal deterioration due to ureteropelvic junction obstruction (UPJO) in an asymptomatic woman with prior normal diuretic renography. This case illustrates "silent" renal obstruction and the inability of diuretic renography in detecting significant renal obstruction. This case may favor close surveillance of any adult patient with potential UPJO, especially those with underlying renal disease or solitary kidney.