Acute renal failure from complete uterine prolapse: role of polycystic kidney disease

A 48-year-old female developed acute renal failure from obstruction caused by a complete uterine prolapse. She had polycystic kidney disease (ADPKD) with previously stable mild renal impairment. She presented with rapidly declining renal function and oliguria which reversed following manual reductio...

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Bibliographic Details
Published inClinical nephrology Vol. 60; no. 2; p. 143
Main Authors Alexander, J L, Rustom, R, Bone, J M
Format Journal Article
LanguageEnglish
Published Germany 01.08.2003
Subjects
Acute Kidney Injury - etiology
Female
Humans
Middle Aged
Polycystic Kidney Diseases - complications
Uterine Prolapse - complications
Uterine Prolapse - diagnosis
Uterine Prolapse - surgery
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Summary:A 48-year-old female developed acute renal failure from obstruction caused by a complete uterine prolapse. She had polycystic kidney disease (ADPKD) with previously stable mild renal impairment. She presented with rapidly declining renal function and oliguria which reversed following manual reduction of the prolapse and insertion of a ring pessary. None of the usual risk factors for uterine prolapse were present, however ADPKD may have contributed to the prolapse. Rapid deterioration of renal function in female patients with ADPKD should prompt gynecological examination to exclude a uterine prolapse as a cause.
ISSN:0301-0430
DOI:10.5414/cnp60143