Renal failure following unilateral nephrectomy in Wilms′ tumour

A 3-year-old male child with (L) sided Wilms′ tumour with extensive vena caval thrombus developed acute re-nal failure following (L) nephrectomy. In kidney tumours with inferior vena caval (IVC) in-volvement the difference in the venous drainage of the right and left kidneys makes the (R) kidney mor...

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Bibliographic Details
Main Authors: K L Narasimhan, Sujit Kumar Chowdhary, R K Marwaha, KLN Rao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2000-01-01
Series:Indian Journal of Urology
Subjects:
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2000;volume=16;issue=2;spage=157;epage=160;aulast=Narasimhan
Description
Summary:A 3-year-old male child with (L) sided Wilms′ tumour with extensive vena caval thrombus developed acute re-nal failure following (L) nephrectomy. In kidney tumours with inferior vena caval (IVC) in-volvement the difference in the venous drainage of the right and left kidneys makes the (R) kidney more vulner-able to venous hypertension and renal failure following a left nephrectomy. The likely etiology of acute renal shut-down of the opposite kidney in the index case is discussed and preventive measures suggested.
ISSN:0970-1591
1998-3824