A 69-year old man was referred by his GP with nocturia and urinary incontinence. He was admitted for catheterization and his blood tests suggested an acute kidney injury (AKI) with serum Creatinine 131 mmol/L and estimated Glomerular Filtration Rate (eGFR) 47 mL/min. Following catheterization, his renal function normalised with Creatinine 66 and eGFR >60. His renal ultrasound scan (U/S) was normal. Against medical advice, he had his catheter removed and was discharged 3 days later. He was re-admitted with delirium and AKI (Creatinine 286, eGFR 19). He was otherwise asymptomatic.
He was re-catheterized and his renal function normalized. A CT urogram was performed. What will be the most likely diagnosis? *This case is from Docplexus editorial team for educative purpose only Source: Clinical cases in urology. The answer is posted in the comment section. Click here
