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Images in medicine
O bladder, where art thou? An unusual cause of obstructive nephropathy
  1. Jason Leo Walsh,
  2. Conor Graham,
  3. Aleksandra Kotwica
  1. Acute Medicine Department, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK
  1. Correspondence to Dr Jason Leo Walsh, Royal Surrey County Hospital NHS Foundation Trust, Guildford GU2 7XX, UK; walsh-jason{at}hotmail.co.uk

http://dx.doi.org/10.1136/postgradmedj-2019-136625

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    An 80-year-old man presented to the emergency department with left-sided groin pain and anuria. He was known to have bilateral inguinal hernias, and was unable to reduce his left-sided inguinal hernia, which was becoming increasingly painful. Due to his ~24-hour history of anuria, a urinary catheter was placed, resulting in ~50 mL of urine being drained on insertion, but no further output subsequently.

    Serology revealed a metabolic acidosis, an acute kidney injury with a creatinine …

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    Footnotes

    • Contributors JLW assessed and diagnosed the patient, obtained consent for reporting the case in the literature, wrote the first draft of the manuscript and approved the final draft for publication. CG collated the clinical data and images for the report, contributed to writing the second and third drafts of the manuscript, and approved the final draft for publication. AK collated the pathology results, contributed to writing the second and third drafts of the manuscript, and approved the final draft for publication.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.