Korean J Urol.  1994 Jan;35(1):74-81.

Treatment of Renal Injury in a Patient Presenting Pituitary Diabetes Insipidus Associated with Bilateral Hydronephrosis: A Case Report

• Park CY
• Kim HS

Abstract

We report the case of a 24-year-old man suffering from a pituitary diabetes insipidus associated with massive urinary tract dilatation with infravesical obstruction. The patient had been admitted and diagnosed to bulbous urethral stricture in our department. Endoscopic internal urethrotomy had been performed for his urethral stricture, but his abdominal distention had not been improved. About 1 year later, he was revisited to emergency room due to painful gross total hematuria and abdominal distention after trivial abdominal blunt trauma. On the abdominal CT finding, the right renal pelvis was collapsed, from which the contrast media was extravasated. The right pyeloplasty, nephrostomy, ureteral stent indwelling and suprapubic cystostomy were performed. During immediate postoperative management, extreme fluid and electrolyte imbalances were occurred. However, we overcame these troubles using hypotonic saline and hormonal replacement. So we reported this case with literatures.

Keyword

Pituitary diabetes insipidus; Hydronephrosis; Renal injury

MeSH Terms

Contrast Media
Cystostomy
Diabetes Insipidus, Neurogenic*
Dilatation
Emergency Service, Hospital
Hematuria
Humans
Hydronephrosis*
Kidney Pelvis
Stents
Tomography, X-Ray Computed
Ureter
Urethral Stricture
Urinary Tract
Young Adult
Contrast Media