A 49-year old female with Solitary Kidney: A case report [author]: Rashina Christine V. Duran

Includes bibliographical

ABSTRACT
Mullerian defects are a rare constellation of abnormalities which effect both the reproductive and urinary system. These syndromes are frequently present as reproductive difficulties late on in the middle age, hence detection is often late into adulthood. The most characteristics presentation of this condition is often obstetric, frequently manifesting as infertility or problems with menstruation. A less prominent yet often ominous complication of this condition is its effect on the renal system. Due to the shared anlage of the two systems, abnormalities in the embryonic origin effects both of their functions. This is evident in our case who presented earlier in life with reproductive abnormalities and is now presenting with chronic kidney disease. Early detection of solitary kidney prior to significant morbidity helps in delaying the progression to a chronic kidney disease. The use of imaging modality such as a whole abdominal ultrasound will provide diagnosis of solitary kidney and also the renal parenchymal structure. [1] Avoidance of nephrotoxic medication and weight control should have been emphasized on early visits. [2] Primary prevention of diseases should be the goal. In our goal patient, the inadequacy of recognition of having a solitary kidney and now presenting with end-age renal disease requiring a renal replacement therapy had a psychological impact on our patient. This affected the initiation of management hence the readmission. Patient was enrolled in multidisciplinary care with management of symptoms and planning of kidney replacement therapy was systematized.

Research - Department of Medicine