BMJ Case Reports 2013; doi:10.1136/bcr-2012-008093

Ureteric obstruction secondary to retroperitoneal fibrosis leading to acute kidney injury

  1. Robert A Hastings2
  1. 1Department of Surgery, South Warwickshire NHS Foundation Trust, Warwick, Warwickshire, UK
  2. 2Department of Medicine, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, Warwickshire, UK
  1. Correspondence to Dr Harald Bjorndalen, h.bjorndalen{at}


A 65-year-old man presenting with apparent acute coronary syndrome was found to have an acute kidney injury. A CT scan of the abdomen revealed bilateral hydronephrosis secondary to retroperitoneal fibrosis, and an unruptured infrarenal abdominal aortic aneurysm Medical management with corticosteroids relieved the ureteric obstruction and renal function started to normalise within 72 h.

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