Abstract
A 39-year-old woman was referred for increased serum creatinine levels. She had a surgical treatment of ureteropelvic junction obstruction 2 decades earlier, and an 18-year history of flank pain and vomiting, with daily use of morphine sulfate and acetaminophen. Persistent pain led to the discovery of a carcinoma of the left kidney treated by a partial nephrectomy 1 year before. The patient’s serum creatinine level was 65 μmol/L at that time. Over the last 6 months, her serum creatinine levels fluctuated between 99 μmol/L and 162 μmol/L.
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