Korean J Nephrol.  2002 Nov;21(6):1026-1031.

A Case of Congenital Nephrogenic Diabetes Insipidus with Bilateral Hydronephrosis and Hydroureter

Affiliations
  • 1Departments of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

We describe a case of congenital nephrogenic diabetes insipidus with severe dilatation of bilateral urinary tracts without anatomical obstructions. Functional obstruction can be occurred when polyuria surpasses the transporting ability of urine in the urinary tract. The patient was admitted to our hospital due to decreased mentality developed after traffic accident. On radiologic study, bilateral hydronephrosis and hydroureter were noted. Because the patient excreted copious dilute urine, we performed water deprivation test and the result was consistent with nephrogenic diabetes insipidus. We are presenting this case in an attempt to describe strong association between congenital diabetes insipidus and nonobstructive hydronephrosis in which polyuria is responsible for the hydronephrosis.

Keyword

Congenital nephrogenic diabetes insipidus; Bilateral hydronephrosis

MeSH Terms

Accidents, Traffic
Diabetes Insipidus
Diabetes Insipidus, Nephrogenic*
Dilatation
Humans
Hydronephrosis*
Polyuria
Urinary Tract
Water Deprivation
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