A 22-year-old male presented with complaints of bilateral fl ank pain along with nausea and vomiting since 2 weeks. There was anuria since 2 days. Routine blood investiga-tions revealed deranged renal function tests, blood urea was 132.7 mg % and serum creatinine was.14.7 mg%. Serum electrolytes, electrocardiogram (ECG) and arte-rial blood gas (ABG) levels were within normal range. Ultrasonogram showed bilateral renal and ureteric stones with moderate hydronephrosis. Plain skiagram kidney, ureter, bladder (KUB) revealed multiple right renal and ure-teric stones; there was a solitary left renal stone and two stones in left lower ureter ( fi gure 1). Ultrasonography-guided bilateral per cutaneous neph-rostomies were inserted under local anaesthesia ( fi gure 2). Subsequent urine output was 1500–2000 ml on both sides
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