Lower Moiety Pelvi Ureteric Junction Obstruction Leading to Acute Renal Failure in an Ectopic Fused Kidney

CASE REPORT A 37 years old man presented to the emergency department with oliguric renal failure. At presentation his serum creatinine was 12 mg/dl and he was in septicemia. He had passed only 250 ml of urine in the past 24 hours. Abdominal sonography revealed right fused renal mass with hydronephrosis of both the upper and the lower moieties. An abdominal computed tomography (CT) scan revealed grossly destroyed parenchyma of the lower moiety with preserved parenchyma but gross hydronephrosis of the upper moiety (Figure 1). After stabilization bilateral percutaneous nephrostomies were placed in both the moieties. The upper moiety drained around 3 liters per day, while the lower moiety did not show urine producCorresponding Author: