Bilateral ureteric stones: an unusual cause of acute kidney injury. (30th March 2016)

• Record Type: Journal Article
• Authors: Sumner, Daniel; Rehnberg, Lucas; Kler, Aaron
• Is Part Of: BMJ case reports. Volume 2016
• Publication Date: 2016-03-30
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2016-214683
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 49-year-old man presented to the accident and emergency department, with a short history of vague abdominal pain, abdominal distension and two episodes of frank haematuria. A plain chest film showed dilated loops of large bowel and blood results on admission showed an acute kidney injury (stage 3). A diagnosis of bowel obstruction was made initially but a CT scan of the abdomen showed bilateral obstructing calculi. After initial resuscitation, the patient had bilateral ultrasound-guided nephrostomies and haemofiltration. He later underwent bilateral antegrade ureteric stenting. A decision will later be made on whether or not he is fit enough to undergo ureteroscopy and laser stone fragmentation.