Role of kidney Doppler ultrasonography in the diagnosis and management of anuric kidney failure

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2 Citations (Scopus)

Abstract

Kidney perfusion can be acutely compromised by many factors including reduced systemic blood pressure and elevated intra-abdominal pressure. We present a case of near complete absence of kidney perfusion in a 57-year-old man with heart failure and new onset ascites. The renal perfusion defect was directly detected by Doppler ultrasonography. Immediate decompression with large-volume paracentesis restored the kidney perfusion and kidney function. This case illustrates that renal ultrasonography with Doppler flow analysis in appropriate settings can serve as an important adjunct in the diagnosis and treatment of acute oligoanuric kidney failure. Timely reversal of the perfusion defect can rescue kidney function.

Original languageEnglish (US)
Pages (from-to)1-6
Number of pages6
JournalClinical Nephrology
Volume82
Issue number2
DOIs
StatePublished - 2014

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Doppler Ultrasonography
Renal Insufficiency
Kidney
Perfusion
Paracentesis
Decompression
Acute Kidney Injury
Ascites
Heart Failure
Blood Pressure
Pressure

Keywords

  • Acute kidney injury
  • Ascites
  • Doppler ultrasonography
  • Kidney perfusion
  • Oliguria
  • Paracentesis

ASJC Scopus subject areas

  • Nephrology

Cite this

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abstract = "Kidney perfusion can be acutely compromised by many factors including reduced systemic blood pressure and elevated intra-abdominal pressure. We present a case of near complete absence of kidney perfusion in a 57-year-old man with heart failure and new onset ascites. The renal perfusion defect was directly detected by Doppler ultrasonography. Immediate decompression with large-volume paracentesis restored the kidney perfusion and kidney function. This case illustrates that renal ultrasonography with Doppler flow analysis in appropriate settings can serve as an important adjunct in the diagnosis and treatment of acute oligoanuric kidney failure. Timely reversal of the perfusion defect can rescue kidney function.",
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AU - Zand, Ladan

AU - King, Bernard Francis

AU - Qian, Qi

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N2 - Kidney perfusion can be acutely compromised by many factors including reduced systemic blood pressure and elevated intra-abdominal pressure. We present a case of near complete absence of kidney perfusion in a 57-year-old man with heart failure and new onset ascites. The renal perfusion defect was directly detected by Doppler ultrasonography. Immediate decompression with large-volume paracentesis restored the kidney perfusion and kidney function. This case illustrates that renal ultrasonography with Doppler flow analysis in appropriate settings can serve as an important adjunct in the diagnosis and treatment of acute oligoanuric kidney failure. Timely reversal of the perfusion defect can rescue kidney function.

AB - Kidney perfusion can be acutely compromised by many factors including reduced systemic blood pressure and elevated intra-abdominal pressure. We present a case of near complete absence of kidney perfusion in a 57-year-old man with heart failure and new onset ascites. The renal perfusion defect was directly detected by Doppler ultrasonography. Immediate decompression with large-volume paracentesis restored the kidney perfusion and kidney function. This case illustrates that renal ultrasonography with Doppler flow analysis in appropriate settings can serve as an important adjunct in the diagnosis and treatment of acute oligoanuric kidney failure. Timely reversal of the perfusion defect can rescue kidney function.

KW - Acute kidney injury

KW - Ascites

KW - Doppler ultrasonography

KW - Kidney perfusion

KW - Oliguria

KW - Paracentesis

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