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

Ladan Zand, Bernard F. King, Qi Qian

Research output: Contribution to journalArticle

2 Scopus citations

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 - Aug 2014
Externally publishedYes

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Keywords

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

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