MECHANISM OF REFLEX ANURIA
Authors: George A. Wolf
Journal: Annals of Internal Medicine (1945)

Case Reports1 July 1945MECHANISM OF REFLEX ANURIAGEORGE A. WOLF JR., M.D.GEORGE A. WOLF JR., M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-23-1-99 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAlthough in urologic literature a syndrome of so-called reflex anuria has been recognized, its explanation has never been satisfactory. Kasten,1in classifying the anurias, includes an inhibitory form of reflex anuria said to be the result of a fall in blood pressure below the critical level necessary for glomerular filtration. He states that such anurias may accompany a fall in renal blood pressure following splanchnic stimulation in abdominal operations. Another more common cause of reflex anuria is said to be the decreased glomerular filtration pressure resulting from a fall in systemic blood pressure associated with shock from painful injuries or...Bibliography1. KASTEN HE: The etiology of anuria with emphasis on prevention and treatment; an analysis of nine cases, Jr. Urol., 1943, xlix, 93-107. CrossrefGoogle Scholar2. MOON VH: Shock. Its dynamics, occurrence and management, 1942, Lea and Febiger, Philadelphia. Google Scholar3. HIPSLEY PL: A critical review of cases of so-called reflex anuria, with the report of a case, Med. Jr. Australia, 1940, ii, 602-606. CrossrefGoogle Scholar4. ELWARD JF: Psychic anuria, Urol. and Cutan. Rev., 1940, xliv, 394-397. Google Scholar5. ADLER E: Psychogenic anuria, Zentralbl. f. Psychotherap., 1932, v, 131-135. Google Scholar6. WOLF GA: The effect of pain on renal function, Res. Publ. Assoc. Nerv. and Ment. Dis., 1943, xxiii, 358-364. Google Scholar7. CHASISRANGESGOLDRINGSMITH HHAWHW: The control of renal blood flow and glomerular filtration in normal man, Jr. Clin. Invest., 1938, xvii, 683-697. CrossrefGoogle Scholar8. RYDINVERNEY HEB: The inhibition of a water diuresis by emotional stress and by muscular exercise, Quart. Jr. Exper. Physiol., 1938, xxvii, 343-374. CrossrefGoogle Scholar9. CORCORANPAGE ACIH: Effects of hypotension due to hemorrhage and of blood transfusion on renal function in dogs, Jr. Exper. Med., 1943, lxxviii, 205-224. CrossrefGoogle Scholar10. DUFFMORE GLRH: Bilateral cortical necrosis of the kidneys, Am. Jr. Med. Sci., 1941, cci, 428-450. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Received for publication February 21, 1944.From the Department of Medicine, Cornell University Medical College and New York Hospital, New York City. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byReflex anuria: an old concept with new evidenceHigh Failure Rate of Indwelling Ureteral Stents in Patients with Extrinsic Obstruction: Experience at 2 InstitutionsReflex anuriaReflex Anuria from Unilateral Ureteral ObstructionPost-obstructive Anuria: a Documented EntityPostendoscopic care, reactions and complicationsThe Relation Between Bladder Pressure and Urine FormationObservations on the Dynamics of Acute Urinary Retention in the DogRenal Hemodynamics in Clinical UrologyReflex Renal SuppressionThe “trueta” Renal Vascular “shunt”Medical Aspects of Renal Insufficiency in Urologic Practice 1 July 1945Volume 23, Issue 1Page: 99-102KeywordsBlood pressureFallsHospital medicineReflexesShock ePublished: 1 December 2008 Issue Published: 1 July 1945 PDF downloadLoading ...