1887
Volume 2022, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Acute kidney injury is a common complication in patients with cancer. Obstructive uropathy is a rare complication of gastric cancer and occurs mainly during treatment. Moreover, obstructive uropathy is rarely complicated by acute renal injury and thus requires emergency treatment. We report a rare case of anuric acute kidney injury that was actually obstructive uropathy secondary to gastric adenocarcinoma. Based on this case and literature review, malignancy should be considered in any patient not known to have cancer who presents with acute kidney injury caused by obstructive uropathy. This presentation reflects an advanced stage of malignancy. Non-enhanced computed tomography is valuable and should be the initial imaging study for diagnosing the obstruction and its cause. Early diagnosis and relief of the obstruction are associated with better recovery of the renal function.

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2022-03-04
2024-11-09
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References

  1. Canet E, Zafrani L, Lambert J, Thieblemont C, Galicier L, Schnell D, et al. Acute kidney injury in patients with newly diagnosed high- grade hematological malignancies: impact on remission and survival. PLoS One 2013;8:e55870.
    [Google Scholar]
  2. Rosner MH, Perazella MA. Acute kidney injury in patients with cancer. N Engl J Med 2017;376:1770–81.
    [Google Scholar]
  3. Cheng Y, Nie S, Li L, Li Y, Liu D, Xiong M, et al. Epidemiology and outcomes of acute kidney injury in hospitalized cancer patients in China. Int J Cancer 2019;144:2644–50.
    [Google Scholar]
  4. Christiansen CF, Johansen MB, Langeberg WJ, Fryzek JP, Sørensen HT. Incidence of acute kidney injury in cancer patients: a Danish population-based cohort study. Eur J Intern Med 2011;22:399–406.
    [Google Scholar]
  5. Migita K, Watanabe A, Samma S, Ohyama T, Ishikawa H, Kagebayashi Y. Clinical outcome and management of ureteral obstruction secondary to gastric cancer. World J Surg 201135:1035–41.
    [Google Scholar]
  6. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 201161:69–90.
    [Google Scholar]
  7. Cohen WM, Freed SZ, Hasson J. Metastatic cancer to the ureter: a review of the literature and case presentations. J Urol 1974112:188–9.
    [Google Scholar]
  8. Uchida M, Kondo Y, Suzuki S, Hosohata K. Evaluation of acute kidney injury associated with anticancer drugs used in gastric cancer in the Japanese adverse drug event report database. Ann Pharmacother 201953:1200–6.
    [Google Scholar]
  9. Kim CS, Oak CY, Kim HY, Kang YU, Choi JS, Bae EH, et al. Incidence, predictive factors, and clinical outcomes of acute kidney injury after gastric surgery for gastric cancer. PLoS One 2013;8:e82289.
    [Google Scholar]
  10. Zhang J, Feng G, Yang Y, Zhang P, Pu C, Zhao G. Acute kidney injury after radical gastrectomy: a single center study. Int Urol Nephrol 201446:973–7.
    [Google Scholar]
  11. Moon HH, Seo KW, Yoon KY, Shin YM, Choi KH, Lee SH. Prediction of nephrotoxicity induced by cisplatin combination chemotherapy in gastric cancer patients. World J Gastroenterol 201117:3510–7.
    [Google Scholar]
  12. Horowitz R, Glicklich D, Sablay LB, Wiernik PH, Wadler S. Interferon-induced acute renal failure: a case report and literature review. Med Oncol 199512:55–7.
    [Google Scholar]
  13. Kressel BR, Ryan KP, Duong AT, Berenberg J, Schein PS. Microangiopathic hemolytic anemia, thrombocytopenia, and renal failure in patients treated for adenocarcinoma. Cancer 198148:1738–45.
    [Google Scholar]
  14. Liaw CC, Chuang CK, Chen JS, Chang HK. Gastric cancer with obstructive uropathy: clinical experience with 17 cases. Changgeng Yi Xue Za Zhi 199720:286–92.
    [Google Scholar]
  15. Dussol B, Berland Y, Casanova P. Crescentic glomerulonephritis associated with gastric adenocarcinoma. Nephrologie 199213:163–5.
    [Google Scholar]
  16. Luan H, Wang C, Xing X, Shao L. Cast nephropathy associated with monoclonal immunoglobulin M-secreting mucosa-associated lymphoid tissue B-cell lymphoma?. Clin Nephrol 2019 Jun;91:380–5.
    [Google Scholar]
  17. Kabat-Koperska J, Kutrzeba J, Chosia M. Acute kidney failure and ascites in Burkitt's lymphoma of the stomach. Pol Arch Med 2001105:67–70.
    [Google Scholar]
  18. Rosenblum H, Bar-Dayan Y, Dovrish Z, Lew S, Weisenberg N, Neumann A, et al. The endless differential diagnosis of acute obstructive renal failure: unusual challenges for the sharp-sighted clinician. Isr Med Assoc J 201012:280–2.
    [Google Scholar]
  19. Treszezamsky A, Altuna S, Díaz L, Vighi S, Sardi J. Metastases to the uterine cervix from a gastric carcinoma presenting with obstructive renal failure: a case report. Int J Gynecol Cancer 200313:555–7.
    [Google Scholar]
  20. Amrouche L, Gornet JM, Lascoux C, George C, Florea L, Farge D, et al. From retroperitoneal fibrosis to gastric linitis. Rev Med Interne 200930:443–5.
    [Google Scholar]
  21. Wong LM, Cleeve LK, Milner AD, Pitman AG. Malignant ureteral obstruction: outcomes after intervention. Have things changed? J Urol 2007;178:178–83; discussion 183.
    [Google Scholar]
  22. Maletz R, Berman D, Peelle K, Bernard D. Reflex anuria and uremia from unilateral ureteral obstruction. Am J Kidney Dis 199322:870–3.
    [Google Scholar]
  23. Klahr S, Harris K, Purkerson ML. Effects of obstruction on renal functions. Pediatr Nephrol 19882:34–42.
    [Google Scholar]
  24. Kellum JA, Lameire N, KDIGO AKI Guideline Work Group. Diagnosis, evaluation and management of acute kidney injury: a KDIGO summary Part 10. Crit Care 2013;17:204.
    [Google Scholar]
  25. Mao W, Liu S, Wang K, Wang M, Shi H, Liu Q, et al. Cystine C in evaluating renal function in ureteral calculi hydronephrosis in adults. Kidney Blood Press Res 202045:109–21.
    [Google Scholar]
  26. Saida Y, Tsunoda HS, Matsueda K, Kurosaki Y, Kuramoto K. Gastric cancer and obstructive uropathy. Nihon Igaku Hoshasen Gakkai zasshi Nippon acta radiol 199050:390–7.
    [Google Scholar]
  27. Krzemien G, Szmigielska A, Bombinski P, Barczuk M, Biejat A, Warchoł S, et al. Extreme hydronephrosis due to uretropelvic junction obstruction in infant (case report). Dev Period Med 201620:138–42.
    [Google Scholar]
  28. Ellenbogen PH, Scheible FW, Talner LB, Leopold GR. Sensitivity of gray scale ultrasound in detecting urinary tract obstruction. AJR Am J Roentgenol 1978130:731–3.
    [Google Scholar]
  29. Kamholtz RG, Cronan JJ, Dorfman GS. Obstruction and the minimally dilated renal collecting system: US evaluation. Radiology 1989170:51–3.
    [Google Scholar]
  30. Allan PL. Kidneys: anatomy and technique in Clinical ultrasound. Allan PL, Baxter GM, Weston MJ. Churchill Livingstone Elsevier, Edinburgh Scotland 2011;413–27.
    [Google Scholar]
  31. Dicuio M, Pomara F, Menchini Fabris F, Ales V, Dahlstrand C, Morelli G. Measurements of urinary bladder volume: comparaison of five ultrasound calculations methods in volunteera. Arch Ital Urol Androl 200577:60–2.
    [Google Scholar]
  32. Jandaghi AB, Falahatkar S, Alizadeh A, Kanafi AR, Pourghorban R, Shekarchi B, et al. Assessment of ureterovesical jet dynamics in obstructed ureter by urinary stone with color Doppler and duplex Doppler examinations. Urolithiasis 201341:159–63.
    [Google Scholar]
  33. Webb JA. Ultrasonography in the diagnosis of renal obstruction. BMJ 1990301:944–6.
    [Google Scholar]
  34. Haddad MC, Sharif HS, Shahed MS, Mutaiery MA, Samihan AM, Sammak BM, et al. Renal colic: diagnosis and outcome. Radiology 1992184:83–8.
    [Google Scholar]
  35. O'Neill WC, Atlas of renal ultrasonography, 1st ed. W B Saunders, Philadelphia 2000.
    [Google Scholar]
  36. Regan F, Bohlman ME, Khazan R, Rodriguez R, Schultze-Haakh H. MR urography using HASTE imaging in the assessment of ureteric obstruction. AJR Am J Roentgenol 1996167:1115–20.
    [Google Scholar]
  37. Tang Y, Yamashita Y, Namimoto T, Abe Y, Nishiharu T, Sumi S, et al. The value of MR urography that uses HASTE sequences to reveal urinary tract disorders. AJR Am J Roentgenol 1996167:1497–502.
    [Google Scholar]
  38. Sudah M, Vanninen RL, Partanen K, Kainulainen S, Malinen A, Heino A, et al. Patients with acute flank pain: comparison of MR urography with unenhanced helical CT. Radiology 2002223:98–105.
    [Google Scholar]
  39. Karras G, Williams ST, McIntyre CW, Selby NM. Acute kidney injury in urology patients: incidence, causes ans outcomes. Neohri-Urol 20135:955–61.
    [Google Scholar]
  40. Wang CJ, Hsu CS, Chen HW, Chang CH, Tsai PC. Percutaneous nephrostomy versus ureteroscopic management of sepsis associated with ureteral stone impaction: a randomized controlled trial. Urolithiasis 201644:415–9.
    [Google Scholar]
  41. Shekarriz B, Shekarriz H, Upadhyay J, Banerjee M, Becker H, Pontes JE, et al. Outcome of palliative urinary diversion in the treatment of advanced malignancies. Cancer 199985:998–1003.
    [Google Scholar]
  42. Better OS, Arieff AI, Massry SG, Kleeman CR, Maxwell MH. Studies on renal function after relief of complete unilateral ureteral obstruction of three months’ duration in man. Am J Med 197354:234–40.
    [Google Scholar]
  43. Green J, Vardy Y, Munichor M, Better OS. Extreme unilateral hydronephrosis with normal glomerular filtration rate: physiological studies in a case of obstructive uropathy. J Urol 1986136:361–5.
    [Google Scholar]
  44. Bander SJ, Buerkert JE, Martin D, Klahr S. Long-term effects of 24-hr unilateral ureteral obstruction on renal function in the rat. Kidney Int 198528:614–20.
    [Google Scholar]
  45. Vaughan ED, Gillenwater JY. Diagnosis, characterization and management of post-obstructive diuresis. J Urol 1973109:286–92.
    [Google Scholar]
  46. Narins RG. Post-obstructive diuresis: a review. J Am Geriatr Soc 197018:925–36.
    [Google Scholar]
  47. Chávez-Iñiguez JS, Navarro-Gallardo GJ, Medina-González R, Alcantar-Vallin L, García-García G. Acute kidney injury caused by obstructive nephropathy. Int J Nephrol 2020;29:8846622.
    [Google Scholar]
  48. Song K, Wang F, Li Q, Shi YB, Zheng HF, Peng H, et al. Hydrogen sulfide inhibits the renal fibrosis of obstructive nephropathy. Kidney Int 201485:1318–29.
    [Google Scholar]
  49. Tomita Y, Moldovan M, Chang Lee R, Hsieh AH, Townsend A, Price T. Salvage systemic therapy for advanced gastric and oesophago-gastric junction adenocarcinoma. Cochrane Database Syst Rev 2020;11:CD012078.
    [Google Scholar]
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  • Article Type: Case Report
Keyword(s): acute kidney injuryStomach neoplasms and ureteral obstruction
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