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case №741

End stage renal disease (ESRD), chronic pyelonephritis, bilateral hydronephrosis – ureterohydronephrosis.

Concomitant diagnosis: extremely high creаtinin level, ascites, nephritis, neurogenic bladder, calculous cholecystitis, splenomegaly, visceroptosis, chronic pancreatitis in the exacerbation phase - necrotic pancreatitis, arterial hypertension, severe anemia, pancreas cyst.

Case description:

A man (25 years old) has a - congenital kidney disease.

Because of the dysfunction of the kidneys, other organs have failed to function and the pancreas and urinary bladder appear to be in poor condition. Doctors say that before transplantation of the kidney requires treatment of other organs (pancreas and bladder).

The laparoscopic repair of the right pyelourethral segment was held in 2017.

The deterioration of health took place in the fall of 2018. Notices weakness, instability of blood pressure.

12.11.2018 - completed operation - Formation of arterio-venous fistula in n / 3 left forearm. Postoperative period without features.

10.12.2018 - the patient was given the setting of the dialysis catheter. Since December 2018, he regularly (three times per week) attends sessions of hemodialysis.

The situation is not improving. It's getting worse.