A patient of severe acute renal failure secondary to obstructive uropathy with an optimal outcome
- People's College of Medical Sciences, Bhopal, India
- Correspondence to Ranjit Chaudhary,
A 22-year-old male presented with complaints of bilateral flank pain along with nausea and vomiting since 2 weeks. There was anuria since 2 days. Routine blood investigations revealed deranged renal function tests, blood urea was 132.7 mg% and serum creatinine was.14.7 mg%. Serum electrolytes, electrocardiogram (ECG) and arterial blood gas (ABG) levels were within normal range. Ultrasonogram showed bilateral renal and ureteric stones with moderate hydronephrosis. Plain skiagram kidney, ureter, bladder (KUB) revealed multiple right renal and ureteric stones; there was a solitary left renal stone and two stones in left lower ureter (figure 1).
Ultrasonography-guided bilateral per cutaneous nephrostomies were inserted under local …