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Biomedical subjects

F Solé-Balcells

Publications and source records attributed to F Solé-Balcells.

6 recordsLinked to original sources

Secondary hydronephrosis to polyarteritis nodosa.

A case of secondary hydronephrosis to lesions from polyarteritis nodosa localized in a short segment of the mid-portion of the ureter together with sclerolipomatosis, periureteritis and functional stenosis is presented. Polyarteritis nodosa is a necrotizing vasculitis affecting small and middle-sized arteries of all organs but more particularly the kidney, heart, gastrointestinal tract, testicles, liver and the striad muscles. Localization in the fatty tissue surrounding the ureter with a periureteritis is not frequent, only 1 case has been published in the literature (1).

Adult

Severe renal insufficiency and renovascular hypertension.

Investigation in a patient aged 46 years with decompensated heart failure and severe renal insufficiency demonstrated a small, poorly functioning right kidney and severe stenosis of the left renal artery. Cardiac decompensation was corrected and the left kidney revascularised by autotransplantation. Renal function recovered considerably (FG 75/min) and the severe hypertension was reduced. In hypertension patients by main renal artery stenosis, renal autotransplantation is recommended, since it is a safe method without technical difficulty and has given good results. The mutual dependence of hypertension and renal insufficiency is reviewed. When renal function is poor, revascularisation of the stenosed kidney will lead to recovery. The hypertension will usually improve but will always become more responsive to drug therapy.

Aortography