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| 진행성 위암 환자에서 발생한 폐쇄성 급성 신부전증 1예 |
| 정석 , 방제소 , 김문재 ,주영채 |
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| Abstract |
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One of major causes of acute renal failure induced by bilateral urinary tract obstruction is malignant tumor. Of these, advanced gastric cancer(AGC) is extremely rare and furthermore, spontaneous re- covery of renal function from obstructive AI4F caused by AGC was not reported in the review of literatures. The 32-year-old man who complained of abdo- minal distention and lower abdominal discomfort for 4 days was admitted to Inha university hopsital. We confirmed poorly differentiated adenocarcinoma of the stomach, malignant ascites, and both lower urinary tract obstructions. The patient showed rapid de- terioration of renal function with anuria in his clinical course and we conducted hemodialysis for him. Although the mechanism was not identified, his urine volume was began to increase without any intervention toward the malignancy on the hospital day 24, and then serum creatinine level was normalized without subsequent dialysis treatment. He is followed up at our outpatient clinic after first systemic FAM chemotherapy. We report a case of acute renal failure in Horr- mann type IV advanced gastric cancer with malignant ascites which presented with obstructive renal failure. |
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