Korean J Nephrol.  2010 Jan;29(1):144-148.

A Case of Postrenal Acute Renal Failure due to Hemorrhagic Cystitis

• Kang J
• Song SH
• Lim W
• Son J
• Seong EY
• Lee DW
• Kwak IS

Abstract

Hemorrhagic cystitis (HC), a serious form of cystitis, is characterized by diffuse bladder mucosal inflammation with hemorrhage. The known causes of HC are radiation, chemotherapy, drug, and infection. But, most cases happen without definite etiology. Radiation induced HC can be developed at any time from 6 months to 10 years after pelvic irradiation therapy, and can appear as late as 2 decades. The complications of HC are anemia, chronic cystitis, and acute renal failure (ARF). However, HC- induced severe postrenal ARF is rare. We experienced a case of a postrenal ARF caused by hematoma in HC. A 55-year-old woman had past history of pelvic irradiation therapy for carcinoma of the cervix 13 years ago. She was initially treated by bladder catheterization and bladder irrigation with normal saline. HC and renal function were improved. However, HC was recurred shortly after stopping irrigation and serum creatinine was elevated again. Thus, we treated this patient successfully with both percutaneous nephrostomy and antegrade double J stent catheterization.

Keyword

Acute renal failure; Radiation; Cystitis

MeSH Terms

Acute Kidney Injury
Anemia
Catheterization
Catheters
Cervix Uteri
Cinnarizine
Creatinine
Cystitis
Female
Hematoma
Hemorrhage
Humans
Inflammation
Middle Aged
Nephrostomy, Percutaneous
Stents
Urinary Bladder
Cinnarizine
Creatinine