Development of Anuria after Appendectomy in a Patient with a Distal Ureteral Stone in a Single Kidney

Kwon, Jung-Hyun; Hwang, Eunmi; Choi, Bum-Soon; Kim, Yong‐Soo; Bang, B K; Yang, Chul-Woo

doi:10.3349/ymj.2007.48.1.139

Cited by 6 publications

(1 citation statement)

References 5 publications

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“…2 In a 20-year-old woman with agenesis of left kidney, Kwon et al reported the simultaneous presentation of acute appendicitis and a distal right ureteral stone. 3 Lang et al reported a coexisting acute appendicitis and right ureteric calculus in 37-year-old white male detected on spiral CT. 4…”

Section: Discussionmentioning

confidence: 99%

Synchronous presentation of acute appendicitis and left ureteric stone

Anjum

Campos

Sellaturay

et al. 2012

Journal of Clinical Urology

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Section: Discussionmentioning

confidence: 99%

Synchronous presentation of acute appendicitis and left ureteric stone

Anjum

Campos

Sellaturay

et al. 2012

Journal of Clinical Urology

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Reflex anuria: an old concept with new evidence

Hou

Wen

et al. 2013

Int Urol Nephrol

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Reflex anuria (RA) was defined by Hull as cessation of urine output from both kidneys due to irritation or trauma to one kidney or its ureter, or severely painful stimuli to other organs. This is not a common concept among urologists or nephrologists even though it has been proposed for more than half a century. The phenomenon has not been thoroughly understood. But intrarenal arteriolar spasm and ureteral spasm have gained wide acceptance as the mechanisms of RA. The present review summarized papers published up to now on RA, in order to depict the general profile of the disease and to further elucidate the pathogenesis of RA. A classification system of RA was proposed as neurovascular reflex, ureterorenal reflex, radiated renovascular reflex, renoureteral reflex, ureteroureteral reflex and radiated ureteral reflex, based on the two assumed mechanisms and the stimulus' origins. All these types except renoureteral reflex had gained supporting evidence from animal experiments and/or clinical case reports. RA is a diagnosis of exclusion, only being considered after ruling out common and tangible etiologies such as ureteral calculi, acute tubular necrosis, renal vascular occlusion, hypovolemia, infection, etc. If the diagnosis has been established, treatment plan should be directed toward the mechanisms more than the causative factors. Abnormalities of the autonomic nerve system and congenital urogenital malformations incline people to RA. In summary, RA is a cessation of urine production caused by stimuli on kidney, ureter or other organs, through a mechanism of reflex spasm of intrarenal arterioles or ureters, leading to acute renal failure. It is a functional rather than parenchymal disease.

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