Reflex Anuria: A Complication of Hyperthermic Intraperitoneal Chemotherapy.
acute renal failure
acute renal failure and hemodialysis in icu
cytoreductive surgery and hipec
decrease urine output
icu patients
mild hydronephrosis
obstructive uropathy
reflex anuria
ureteric stent
uro oncology surgery
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
accepted:
08
12
2021
entrez:
12
1
2022
pubmed:
13
1
2022
medline:
13
1
2022
Statut:
epublish
Résumé
Reflex anuria (RA) is a rare cause of abrupt reduction of urine output following trauma, irritation, or painful stimuli to the kidneys, ureters, or surrounding organs. The mechanism of RA is a reflex spasm of both ureters and/or renal arterioles. It is a well-documented complication of colorectal surgeries and gynecological surgeries which involve placement of a ureteric stent for ureteric identification and prevention of injury. RA and post-renal obstruction can both be complications of intraperitoneal hyperthermic chemotherapy (HIPEC) in patients who are undergoing surgery for colorectal cancer and peritoneal carcinomatosis. HIPEC procedure can lead to inflammation of the entire abdomen, including the ureters. This inflammation can result in hematuria that can form clots along the urinary tract and cause post-renal obstruction. The inflammation can also result in RA. It is essential to maintain high urine output during the early postoperative period to prevent clots and the ensuing post renal obstruction. It is also important to identify RA and maintain a low threshold to treat it by placing ureteric stents even in the absence of overt bilateral hydronephrosis.
Identifiants
pubmed: 35018265
doi: 10.7759/cureus.20269
pmc: PMC8740905
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e20269Informations de copyright
Copyright © 2021, Fayed et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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