A 72-year-old man presents with acute renal failure and uraemic symptoms. His creatinine on admission is 790 micromol/litre and his potassium is 7.6. He has a past history of prostatic carcinoma for which he had external beam radiotherapy and is currently on an LHRH analogue with a stable PSA of 1.89ng/ml. He is haemodynamically stable and his examination reveals no abnormality.
He goes on to have a CT KUB (and subsequent nephrostogram). What can be inferred from the images? What should be the initial management for this case? Case and image source: camurology *This case is from the Docplexus Editorial Team and is for educative purpose only.
