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A case of renal dysfunction caused by pelvic organ prolapse

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Abstract

Pelvic organ prolapse (POP) is the descent of pelvic organs through the vagina, and sometimes causes hydronephrosis. Although the association between POP and hydronephrosis has long been recognized, severe hydronephrosis and renal dysfunction are rarely seen. We report a case of 66-year-old woman who had a vaginal delivery presented with externalized uterine and bladder prolapse during the previous 2 years. She had a 3-day history of hypophagia and vomiting, and laboratory analysis resulted in serum creatinine of 5.75 mg/dL and blood urea of 78.1 mg/dL. The patient was treated urgently with vaginal pessary to return the uterine and bladder into the pelvis. After 2 weeks, her serum creatinine dropped to 3.66 mg/dL, but chronic renal failure persisted. Hydronephrosis caused by POP may lead to renal dysfunction and can advance to irreversible renal damage if left untreated. Important is early evaluation of renal function and images of the kidney and ureter.

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Authors and Affiliations

  1. Department of Nephrology, Nagoya Ekisaikai Hospital, 4-66 Shonencho, Nakagawaku, Nagoya City, Aichi Prefecture, Japan

    Ai Miyagi, Yusuke Inaguma, Tomoaki Tokoyoda, Takashi Nakajima & Ryozo Sezaki

  2. Department of Obstetrics and Gynecology, Nagoya Ekisaikai Hospital, 4-66 Shonencho, Nakagawaku, Nagoya City, Aichi Prefecture, Japan

    Tetsuya Matsukawa

Authors
  1. Ai Miyagi
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  2. Yusuke Inaguma
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  3. Tomoaki Tokoyoda
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  4. Takashi Nakajima
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  5. Ryozo Sezaki
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  6. Tetsuya Matsukawa
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Correspondence to Ai Miyagi.

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The authors have declared that no conflict of interest exists.

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This article does not contain any studies with human participants performed by any of the authors.

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Miyagi, A., Inaguma, Y., Tokoyoda, T. et al. A case of renal dysfunction caused by pelvic organ prolapse. CEN Case Rep 6, 125–128 (2017). https://doi.org/10.1007/s13730-017-0257-2

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  • DOI: https://doi.org/10.1007/s13730-017-0257-2

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