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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 346:353-360 January 31, 2002 Number 5
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Case 4-2002 — A 75-Year-Old Man with Acute Renal Failure Five Months after Cystoprostatectomy and Urethrectomy for Carcinoma
Hasan Bazari, M.D., and Shamila Mauiyyedi, M.D.

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Presentation of Case

A 75-year-old man was admitted to the hospital because of acute renal failure.

He had undergone cystoprostatectomy and urethrectomy with construction of an ileal conduit five months earlier because of prostatic adenocarcinoma and urethral papillary transitional-cell carcinoma. The postoperative course was complicated by three weeks of paralytic ileus. Eighteen days before admission, laboratory tests were performed (Table 1). Two weeks before admission, malaise, low-grade fever, chills, and anorexia developed. Ofloxacin was prescribed, but the patient took it only sporadically. The symptoms did not improve. During an outpatient evaluation, a urographic examination (Figure 1) disclosed faint opacification . . . [Full Text of this Article]

Differential Diagnosis

Diseases of the Tubules

Diseases of the Interstitium

Diseases of Vessels

Diseases of Glomeruli

Clinical Diagnosis

Dr. Hasan Bazari's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References


Related Letters:

Case 4-2002: Cancer-Associated Obstruction and Glomerular Damage
Blas A. III, McGill R., Sandroni S.
Extract | Full Text | PDF  
N Engl J Med 2002; 346:1751-1752, May 30, 2002. Correspondence

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