In many cases of anuria, therapy more frequently than not is limited to one modality, sometimes to the patient's disadvantage. In recent years treatment of presumably reversible anuria has emerged from the stage of mercurial diuresis, hyperhydration or renal decapsulation to the more physiological methods of peritoneal perfusion, gastrointestinal lavage and direct blood dialysis by means of the artificial kidney. Favorable as well as unfavorable results have been obtained by such measures. We wish to show that in difficult cases multiple therapeutic measures should be instituted to combat anuria, despite the failure of one particular technic.
The type of case which is herein presented is no longer medical "news." We cannot claim originality for the use of multiple or combined therapeutic measures in the treatment of anuria. However, we do wish to call attention to a successful result brought about by combined methods in an unusually complicated situation.