Endocrinol Metab > Volume 24(2); 2009 > Article
Journal of Korean Endocrine Society 2009;24(2):144-147.
DOI: https://doi.org/10.3803/jkes.2009.24.2.144    Published online June 1, 2009.
Central Diabetes Insipidus Surmised as from Post-obstructive Diuresis after Decompression Treatment for Neurogenic Bladder.
Kang Woo Lee, Chul Woo Yang, Dong Jun Lim, Hyuk Sang Kwon, Mi Ja Kang, Eun Sook Kim, Kun Ho Yoon, Ho Young Son, Bong Yun Cha
1Department of Internal Medicine, Konyang University, College of Medicine, Korea.
2Department of Internal Medicine, the Catholic University, College of Medicine, Korea.
Abstract
Post-obstructive diuresis after treatment for neurogenic bladder-induced obstructive kidney disease is a common symptom. As polyuria may develop in many other conditions as well, the present case is about a patient with a chief complaint of polyuria accompanied by nocturia, that was initially diagnosed as hydronephrosis due to the presence of neurogenic bladder and bladder dysfunction. The result of the water deprivation test, which was conducted for persistent diluted polyuria, yielded a final diagnosis of central diabetes insipidus, notwithstanding the strong impression of post-obstructive diuresis initially made because of a sudden increase in urine output after an indwelling catheter was inserted for bladder decompression.
Key Words: diabetes insipidus, obstructive nephropathy, post-obstructive diuresis
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