Differential Diagnosis for Ileoconduit Not Making Urine
- Single Most Likely Diagnosis
- Ureteral obstruction: This is a common complication of ileoconduit surgery, where the ureters may become obstructed due to kinking, stenosis, or other mechanical issues, leading to a decrease or cessation of urine production.
- Other Likely Diagnoses
- Dehydration: Inadequate fluid intake or excessive fluid loss can lead to decreased urine output in patients with an ileoconduit.
- Electrolyte imbalance: Certain electrolyte imbalances, such as hyperkalemia, can affect kidney function and lead to decreased urine production.
- Medication side effects: Certain medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), can decrease urine output by affecting kidney function.
- Do Not Miss Diagnoses
- Septic shock: Sepsis can lead to acute kidney injury, resulting in decreased urine output, and is a life-threatening condition that requires prompt recognition and treatment.
- Urosepsis: Infection of the urinary tract can lead to sepsis and decreased urine output, and is a potentially life-threatening condition.
- Renal failure: Acute or chronic renal failure can lead to decreased urine output, and is a critical condition that requires prompt recognition and treatment.
- Rare Diagnoses
- Ureteral ischemia: Decreased blood flow to the ureters can lead to ischemia and decreased urine output, although this is a rare complication.
- Ileoconduit necrosis: Necrosis of the ileoconduit can lead to decreased urine output, although this is a rare and serious complication.
- Retroperitoneal fibrosis: A rare condition characterized by fibrosis of the retroperitoneal tissue, which can lead to ureteral obstruction and decreased urine output.