BMJ Case Reports 2011; doi:10.1136/bcr.10.2010.3458
  • Images In...

A patient of severe acute renal failure secondary to obstructive uropathy with an optimal outcome

  1. Nidhi Jain
  1. People's College of Medical Sciences, Bhopal, India
  1. Correspondence to Ranjit Chaudhary, drnidhiranjit{at}


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).

Figure 1

Plain skiagram KUB region. Multiple right renal and ureteric stones, solitary left renal stone and two stones in left lower ureter.

Ultrasonography-guided bilateral per cutaneous nephrostomies were inserted under local …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article