{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T17:11:00Z","timestamp":1782148260005,"version":"3.54.5"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,4,21]]},"abstract":"<jats:p>A relatively young healthy man (barring obesity and distant gouty arthritis) was admitted with severe acute kidney injury (serum creatinine, 15.9\u2009mg\/dL) following acute gastroenteritis and occasional use of diclofenac. Abdominal ultrasound revealed mild left hydronephrosis due to staghorn stone and normal right kidney. Soon after, complete anuria necessitating haemodialysis developed without pain or evidence of infection. CT imaging revealed stones obstructing the right ureter. Following urological surgery, postobstructive diuresis developed and the serum creatinine came down to near normal. The stones were identified as uric acid stones.<\/jats:p>\n               <jats:p>Anuria has a relatively narrow differential and painless (partially non-dilated) bilateral ureteral obstruction is a distinctly unusual cause. A review of the literature to cover all reported causes of bilateral ureteral obstruction is presented. Only a minority of cases were not associated with an underlying malignant disease or its treatment. The multifactorial aetiology of the patient's acute kidney injury (volume depletion, diclofenac and obstructive uropathy) is presented and discussed.<\/jats:p>","DOI":"10.1136\/bcr-2016-218173","type":"journal-article","created":{"date-parts":[[2017,8,7]],"date-time":"2017-08-07T10:11:57Z","timestamp":1502100717000},"page":"bcr-2016-218173","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["The bladder ran dry: bilateral ureteral obstruction"],"prefix":"10.1136","volume":"2017","author":[{"given":"Ami","family":"Schattner","sequence":"first","affiliation":[{"name":"Hebrew University and Hassadah Faculty of Medicine, Jerusalem, Israel"},{"name":"Laniado Hospital, Sanz Medical Centre, Netanya, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosef","family":"Drahy","sequence":"additional","affiliation":[{"name":"Laniado Hospital, Sanz Medical Centre, Netanya, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ina","family":"Dubin","sequence":"additional","affiliation":[{"name":"Laniado Hospital, Sanz Medical Centre, Netanya, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,8,7]]},"reference":[{"key":"2025082801380033000_2017.aug07_1.bcr-2016-218173.1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.krcp.2014.11.002","article-title":"Etiology and outcomes of anuria in acute kidney injury: a single center study","volume":"34","author":"Choi","year":"2015","journal-title":"Kidney Res Clin Pract"},{"key":"2025082801380033000_2017.aug07_1.bcr-2016-218173.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199803053381007"},{"key":"2025082801380033000_2017.aug07_1.bcr-2016-218173.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(99)00113-8"},{"key":"2025082801380033000_2017.aug07_1.bcr-2016-218173.4","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/s12018-011-9106-6","article-title":"Uric acid nephroithiasis: a systemic metabolic disorder","volume":"9","author":"Wiederkehr","year":"2011","journal-title":"Clin Rev Bone Miner Metab"},{"key":"2025082801380033000_2017.aug07_1.bcr-2016-218173.5","doi-asserted-by":"crossref","first-page":"392","DOI":"10.5489\/cuaj.11058","article-title":"Acute reversible kidney injury secondary to bilateral ureteric obstruction","volume":"5","author":"Organ","year":"2011","journal-title":"Can Urol Assoc J"},{"key":"2025082801380033000_2017.aug07_1.bcr-2016-218173.6","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1089\/cren.2016.0055","article-title":"Anuria secondary to bilateral obstructing ureteral stones in the absence of renal colic","volume":"2","author":"Salter","year":"2016","journal-title":"J Endourol Case Rep"},{"key":"2025082801380033000_2017.aug07_1.bcr-2016-218173.7","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.160.3.3526405"},{"key":"2025082801380033000_2017.aug07_1.bcr-2016-218173.8","first-page":"470","article-title":"Nondilated obstructive uropathy and renal failure as a result of carcinoma of the intrapelvic area","volume":"173","author":"Kocurek","year":"1991","journal-title":"Surg Gynecol Obstet"},{"key":"2025082801380033000_2017.aug07_1.bcr-2016-218173.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.07.040"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:38:07Z","timestamp":1756370287000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,7]]},"references-count":9,"alternative-id":["10.1136\/bcr-2016-218173"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218173","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,7]]}}}