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Revista de Nefrología, Diálisis y Trasplante

ISSN 0326-3428 (Print)
Órgano de difusión científica de la Asociación Nefrológica de Buenos Aires
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2024, Number 1

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Rev Nefrol Dial Traspl 2024; 44 (1)

Prolonged macrohematuria and sponge kidney: coexistence or association?

Loayza K, Compte L, De Rosa M, Segovia F, Bedoya CM, Sanguinetti H
Full text How to cite this article

Language: Spanish
References: 9
Page: 31-35
PDF size: 467.06 Kb.


Key words:

medullary sponge kidney, persistent macrohematuria.

ABSTRACT

Medullary sponge kidney or Cacchi Ricci disease is a malformation that affects the distal nephron, characterized by the dilation of the medullary and papillary portions of the collecting ducts. The majority of cases are sporadic, with dominant autonomic inheritance in only 5%1. The clinical picture and prognosis are usually indolent, however, it may be associated with urinary tract infections, nephrolithiasis and, less frequently, hematuria and low back pain. We present below the case of a patient with persistent macrohematuria of 9 years of evolution, with multiple inconclusive studies during those years, with a final diagnosis of medullary sponge kidney.


REFERENCES

  1. Karen Garfield Et al. Riñón esponjoso medular. StatPearls Publishing ; 2023PMID: 29262095

  2. Antonia Fabris1. Et al.Medullary sponge kidney: stateof the art. Nephrol Dial Transplant (2013) 28: 1111–1119 doi: 10.1093/ndt/gfs505

  3. Talha H Imam Et.al Medullary Sponge Kidney: CurrentPerspectives. International Journal of Nephrology andRenovascular Disease 2019:12 213–218

  4. Geoffrey S. Gaunay Et al. Efficacy of Multi-DetectorComputed Tomography for the Diagnosis of MedullarySponge Kidney. CurrUrol 2017; 11:139–143 DOI:10.1159/000447208

  5. Gambaro G, Danza FM, Fabris A. Riñón en esponjamedular. Curr Opin Nephrol Hypertens. 2013; 22:421.

  6. Segovia F. De Rosa M. Diagnóstico por imagen:Hematuria recurrente. Volumen IV, Numero 1.Argentina. 2006.

  7. David S. Goldfarb Et. al. Riñón en esponja medular.Julio de 2023. (Uptodate).

  8. Brent Cleveland and Michael Borofsky Symptomaticrenal papillary varicosities and medullarynephrocalcinosis. Cleveland and Borofsky BMC Urology(2021). https://doi.org/10.1186/s12894-021-00931-3

  9. Rodrigo López-Fontana. Et al. Hallazgos endoscópicosen pacientes con hematuria unilateral crónica medianteel uso del videoureterorrenoscopio flexible. Rev. Arg. deUrol. Vol. 84 (2) 2020 (21-26) ISSN 0327-3326




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C?MO CITAR (Vancouver)

Rev Nefrol Dial Traspl. 2024;44