A 51-year-old woman with adenomyosis was admitted because of anemia with schistocytosis, thrombocytopenia, and acute renal failure (ARF). Thrombotic microangiopathy (TMA) was considered. Plasma exchange and steroid therapies improved laboratory results. However, renal biopsy specimen revealed acute tubular necrosis (ATN), but not TMA, and thrombocytopenia, diagnosed it as disseminated intravasc...

Type 1 (classic distal) renal tubular acidosis [2] Inability to form an acid urine in the distal tubule [3] . May be inherited as a primary disorder or associated with autoimmune disorders (eg, Sjögren's syndrome, systemic lupus erythematosus (SLE)) [4] , hyperparathyroidism, analgesic nephropathy, renal transplant rejection, obstructive uropathy and chronic urinary tract infections (UTIs). Wit...

The elderly segment of the population is growing at a rapid rate; this "longevity revolution" is associated with an increasing prevalence of bacteriuria and UTI. Asymptomatic bacteriuria generally requires no treatment. In the absence of obstructive uropathy or infected calculi, asymptomatic bacteriuria in the elderly pursues a benign course. Prevention of UTIs is needed to avoid the risks of s...

complications (renal calculi and UTIs) or is discovered accidentally [3]. In the differential diagnosis, causes of obstructive uropathy and vesicoureteral reflux should be considered and excluded [5]. The diagnosis lies on the typical radiographic findings of the IVU [6] and renal ultrasonogram or CT scan, coupled to the normal wash-out pattern in renal scintigraphy [4–6]. Fluid intake should b...

An anterior urethral valve is uncommon compared to a posterior urethral valve as a cause of lower obstructive uropathy. Furthermore, an anterior urethral valve in the fossa navicularis is extremely rare. We describe the case in a 6-year-old boy who presented with a split urinary stream. Endoscopy revealed an anterior urethral valve in the fossa navicularis, and we successfully incised the valve...

Medical ultrasound is a particularly useful imaging method used in the diagnosis of urinary foetal anomalies. One such anomaly posterior urethral valve (PUV), which congenital malformation male urethra occurring early gestation life. PUV common cause obstructive uropathy males and death during pregnancy. We report from medical perspective on rare high-risk case detected routine antenatal Botswa...

Uterine myomata at different locations and of differing sizes usually produce different symptoms, including menorrhagia, tenesmus or frequent urination and, occasionally, pelvic pain. Although logically possible, significant obstructive uropathy is rarely associated with the compression of a uterine leiomyoma. We report a case of a large uterine leiomyoma presenting with bilateral hydroureter, ...

OBJECTIVE The study was focused on determining the effectiveness and reliability of using the renal resistance index as a method of diagnosing and monitoring the evolution of obstructive uropathy treatment. For this purpose, we conducted an experimental study on a homogenous group of animals that all had the same level of obstruction. MATERIAL AND METHODS 15 healthy female pigs were used. The...