Creatinine Down From 11.4 to 1.3 mg/dL: ACKU Dialysis & Laser Endourology Reverse Acute Obstructive Kidney Shutdown
01 Patient Presentation & Clinical Challenge
63-year-old diabetic patient Alhaj Abdul Karim was brought from Savar in acute distress after 36 hours of complete inability to pass urine, high fever, and drowsiness. Urgent GenXPro LIMS biochemistry revealed a Serum Creatinine of 11.4 mg/dL, life-threatening potassium of 6.8 mmol/L, metabolic acidosis, and non-contrast CT evidence of bilateral obstructing ureteric stones.
02 Multidisciplinary Hospital Intervention
Nephrologist Dr. Md. Saiful Ahammad Sarker and DCIMCH’s Advanced Care Kidney & Urology Unit (ACKU) initiated immediate dual-track rescue:
- Emergency ultra-pure RO hemodialysis in ACKU rapidly lowered serum potassium and cleared uremic toxins within 3 hours of admission.
- Targeted broad-spectrum renal-dosed antibiotic coverage and ultrasound-guided urinary decompression relieved bilateral kidney pressure without open incisions.
- Definitive endoscopic laser lithotripsy cleared the obstructing calculi once infection markers normalized.
03 Recovery Outcome & Follow-Up
Native urine output rebounded briskly following decompression, eliminating the need for long-term dialysis. At his two-week OPD review (Building-1, Level-3, Room 312), Mr. Karim’s Serum Creatinine stood at 1.3 mg/dL with completely stone-free kidneys.
“We feared my father would need lifelong dialysis. Because DCIMCH had emergency dialysis, CT scan, and urology under one roof, his kidneys recovered completely.”
