I.R. GARIFZYANOV¹, N.R. GATIYATULLIN^1,2, SH.R. GALEEV^1,2, R.DAVKHALE¹, N.R. IBRAGIMOVA², A.R.AMIROV¹

 ¹Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064

² KSMA – Branch Campus of the FSBEI FPE RMACPE MOH Russia , 36 Butlerov Str., Kazan, Russian Federation, 420012

 Garifzyanov I.R. – Nephrologist of the Department of Hemodialysis, tel. (843)231-21-38, e-mail: insaf290592@yandex.ru  ORCID ID:  0000-0003-2346-3609

Gatiyatullin N.R. – Head of the Department of Hemodialysis, Assistant of the Department of Urology and Nephrology, tel. (843)231-21-38, e-mail: nail99@yandex.ru  ORCID ID:  0000-0001-8174-6776

Galeev Sh.R. – Head of the Department of Kidney Transplantation, PhD (medicine), Associate Professor of the Department of Urology  and Nephrology, tel. (843) 231-21-26, e-mail: shamil80@bk.ru  ORCID ID:  0000-0002-3505-9251

Davkhale R. – Nephrologist of the Department of Hemodialysis, tel. (843)231-21-38, e-mail: ravikant@mail.ru    ORCID ID:  0000-0002-1677-4479

Ibragimova N.R. – Resident of the 1^st year of study of the Department of Urology and Nephrology, tel. (843)231-21-38, e-mail: nadka09_94@mail.ru  ORCID ID:  0000-0001-9999-9931

Amirov A.R. – Urologist of the Department of Kidney Transplantation, tel. (843)231-21-26, e-mail: anvar.xl@gmail.com, ORCID ID:  0000-0002-8197-8881

Objective: To determine the cause and tactics of treatment of nephrogenic ascites in a patient with chronic kidney disease on programmed hemodialysis.

Materials and methods: A case of nephrogenic ascites was detected in a patient on programmed hemodialysis in the Department of Kidney Transplantation and Hemodialysis of the Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan.

Results: Intensification of hemodialysis procedures with an adequate ultrafiltration and daily peritoneal dialysis allowed to eliminate the effects of nephrogenic ascites.

Conclusion: continuous ambulatory peritoneal dialysis can be used in the treatment of nephrogenic ascites.  

Key words: nephrogenic ascites, chronic kidney disease, hemodialysis, peritoneal dialysis.

(For citation: Garifzyanov I.R., Gatiyatullin N.R., Galeev Sh.R., Davkhale R., Ibragimova N.R., Amirov A.R. A case of nephrogenic ascites in a patient on programmed hemodialysis. Practical Medicine. 2018)

REFERENCES

1. Shobhana Nayk-Rao. Nephrogenic Ascites-Still an Intractable Problem? Saudi J Kidney Dis Transpl., 2015, vol. 24(4), pp. 773-777.
2. Mahoney J.F., Gutch C.F., Holmes J.H. Intractable ascites in chronic dialysis patients. Am Soc NepHrol., 1970; 4:51.
3. Rodriguez H.J., Walls J., Slatopolsky E., Klahr S. Recurrent ascites following peritoneal dialysis: A new syndrome? Arch Intern Med., 1974, no. 134, pp. 283-287.