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Abstract
A 76-year-old man presented with a 2-day history of progressive and sharp lower abdominal pain of moderate severity, associated with urinary frequency and hematuria. Medical history included uncontrolled type 2-diabetes mellitus, stage 3 chronic kidney disease and neurogenic bladder. He had self-catheterized himself for 1 year. Physical findings were tenderness in the left lower quadrant and suprapubic area. Computed tomography scan of the abdomen showed bilateral small kidneys with hydronephrosis.
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