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Lithiasis-induced acute kidney injury: Is ultrasonography enough?

Published:February 27, 2018DOI:https://doi.org/10.1016/j.ajem.2018.02.030
      Obstructive acute kidney injury (AKI) is relatively common, reported in 8% to 17% of cases presenting with community-acquired AKI [
      • Wang Y.
      • Wang J.
      • Su T.
      • Qu Z.
      • Zhao M.
      • Yang L.
      Community acquired acute kidney injury: a nationwide survey in China.
      ,
      • Kaufman J.
      • Dhakal M.
      • Patel B.
      • Hamburger R.
      Community acquired acute renal failure.
      ]. It is more frequent in males of advanced age, usually from bladder outlet obstruction [
      • Feest T.G.
      • Round A.
      • Hamad S.
      Incidence of severe acute renal failure in adults: results of a community based study.
      ]. Guidelines recommend imaging, namely a renal tract ultrasound (US), within 24 h from admission to rule-out obstruction and guarantee recovery of renal function [
      • Tang X.
      • Lieske J.C.
      Acute and chronic kidney injury in nephrolithiasis.
      ,
      • Lewington A.
      • Kanagasundaram S.
      Renal association clinical practice guidelines on acute kidney injury.
      ].
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