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Year : 2000  |  Volume : 16  |  Issue : 2  |  Page : 157-160

Renal failure following unilateral nephrectomy in Wilms' tumour

Departments of Paediatric Sugery & Paediatrics, Chandigarh, India

Correspondence Address:
K L Narasimhan
Dept. of Paediatric Surgery, PGIMER, Chandigarh - 160 012
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Source of Support: None, Conflict of Interest: None

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A 3-year-old male child with (L) sided Wilms' tumour with extensive vena caval thrombus developed acute re­nal failure following (L) nephrectomy. In kidney tumours with inferior vena caval (IVC) in­volvement the difference in the venous drainage of the right and left kidneys makes the (R) kidney more vulner­able to venous hypertension and renal failure following a left nephrectomy. The likely etiology of acute renal shut­down of the opposite kidney in the index case is discussed and preventive measures suggested.

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