Abstract
Bilateral hydronephrosis secondary to urinary obstruction leads to a buildup of back pressure in the urinary tract and may lead to impairment of renal function. We present a case of a 57-year-old male with a history of alcoholic liver cirrhosis, who presented with tense ascites and acute renal failure. Bilateral hydronephrosis was seen on abdominal ultrasound. Multiple large-volume paracenteses resulted in resolution of hydronephrosis and prompt improvement in renal function.
Highlights
The etiology of urinary tract obstruction varies among the population, depending on age, sex, and other concurrent medical conditions
We report the case of a patient who presented with tense ascites associated with acute renal failure, who was found to have bilateral hydronephrosis
Congenital anomalies may obstruct the urinary tract at any level from the ureteropelvic junction to the tip of the urethra
Summary
The etiology of urinary tract obstruction varies among the population, depending on age, sex, and other concurrent medical conditions. Such obstruction can be classified based on duration, site, or age of onset. The incidence is highest in the first decade of life, primarily as a result of congenital anomalies of the urinary tract. A second peak is witnessed after the sixth decade of life, most commonly resulting from obstructive disorders of the prostate. Congenital conditions, such as posterior urethral valves or bladder diverticulae, can cause bilateral hydronephrosis in the early years. Resolution of hydronephrosis was seen following multiple paracenteses and was accompanied by improvement in renal function
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