title: Bilateral ureteric stones: an unusual cause of acute kidney injury.
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.
authors.affiliation: Department of General Surgery, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK.
authors.forename: Daniel
authors.initials: D
authors.lastname: Sumner
authors.affiliation: Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, Kent, UK.
authors.forename: Lucas
authors.initials: L
authors.lastname: Rehnberg
authors.affiliation: Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, Kent, UK.
authors.forename: Aaron
authors.initials: A
authors.lastname: Kler
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D019468:Disease Management; D006801:Humans; D008297:Male; D008875:Middle Aged; D014514:Ureteral Calculi / Q000000981:diagnostic imaging* / Q000209:etiology