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Perakut verlaufende maligne Hypertonie nach 2jähriger Dauerdialysebehandlung

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Zusammenfassung

Es wird über eine 27jährige Patientin berichtet, bei der eine seltene Nierenmißbildung (Cystenniere links und aglomeruläre Niere rechts) vorliegt und eine chronisch rezidivierende Glomerulonephritis zur terminalen Niereninsuffizienz führt. Durch Dauerdialysebehandlung kann fast 2 Jahre lang eine volle Rehabilitation erreicht werden. Die ungewöhnlich foudroyante Entwicklung eines malignen Hypertonus unter den klinischen Symptomen einer perakuten Glomerulonephritis erfordert die bilaterale Nephrektomie. Wenige Tage später auftretende gastrointestinale Blutungen machen eine Teilresektion des Magens unumgänglich. An postoperativen Komplikationen kommt die Patientin ad exitum.

Summary

It is reported on a 27 years old female patient with a rare kidney malformation (polycystic kidney, left side, and aglomerular kidney, right side). A chronic relapsing glomerulonephritis resulted in terminal renal insufficiency. By a chronic dialysing program the full rehabilitation could be obtained during nearly 2 years. The unusually accellerated development of a malignant hypertension with the clinical symptoms of an acute glomerulonephritis required the bilateral nephrectomy. Gastro-intestinal bleeding occurring a few days later necessitated a gastrectomy. The patient died of postoperative complications.

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Authors and Affiliations

  1. I. Medizinische Klinik der Universität München, Germany

    H. J. Gurland, H. H. Edel, E. Buchborn & A. Bohle

  2. Pathologisches Institut der Universität Tübingen, Germany

    H. J. Gurland, H. H. Edel, E. Buchborn & A. Bohle

Authors
  1. H. J. Gurland
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  2. H. H. Edel
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  3. E. Buchborn
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  4. A. Bohle
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Additional information

Herrn Prof. Dr. med.H. Schwiegk zum 60. Geburtstag gewidmet.

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Gurland, H.J., Edel, H.H., Buchborn, E. et al. Perakut verlaufende maligne Hypertonie nach 2jähriger Dauerdialysebehandlung. Klin Wochenschr 44, 1385–1389 (1966). https://doi.org/10.1007/BF01752478

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  • DOI: https://doi.org/10.1007/BF01752478

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