片岡 肇一¹, 内田 博仁¹, 斉藤 豊彦¹, 吉田 英機¹, 渡辺 賀寿雄², 芝木 國雄², 広田 彰男³

Toshiichi KATAOKA¹, Hiroji UCHIDA¹, Toyohiko SAITOU¹, Hideki YOSHIDA¹, Kazuo WATANABE², Kunio SHIBAKI², Akio HlROTA³

¹昭和大学泌尿器科, ²東京専売病院泌尿器科, ³東京専売病院内科

¹Department of Urology Showa University School of Medicine, ²Department of Urology Tokyo Senbai Hospital, ³Department of Internal Medicine Tokyo Senbai Hospital

キーワード : Color Doppler sonography, Percutaneous nephrostomy, Postrenal renal failure

We report a case of postrenal renal failure resulting from advanced uterus carcinoma evaluated by color Doppler sonography before and after treatment. A 68-years-old woman was hospitalized with postrenal renal failure resulting from bilateral ureteral obstruction caused by advanced uterus carcinoma. Color Doppler sonography was used to determine site of nephrostomy. Nephrostomy was performed on the right kidney, which color Doppler sonographic examination showed to function better than the left kidney. After surgery color Doppler sonography of the right kidney showed recovery from renal dysfunction before serum uremic toxins had returned to their normal levels. These observations suggest the value of color Doppler sonography in estimating degree of renal function both before and after treatment of renal failure.