Background: Acute renal failure (ARF) due to obstructive uropathy is a urological emergency. The standard radiological investigations in the emergency setting include X-ray, ultrasonography and computed tomography. But occasionally the cause of obstruction may be elusive.

Methods: We present a case of obstructive uropathy due to bilateral stones presenting as acute renal failure. The patient underwent successful shock wave lithotripsy (SWL) for dissolution of calculi.

Results: The patient was successfully treated, and reported asymptomatic in a follow-up.

Conclusion: Close collaboration between nephrological, urological, and radiological services is required.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4129866PMC
http://dx.doi.org/10.5847/wjem.j.issn.1920-8642.2014.01.012DOI Listing

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