A 28-year-old woman of Jewish descent with a history of sickle β-thalassaemia disorder and uterine fibroids presented to the emergency department with a 2-week history of frank haematuria. She had been taking paracetamol daily for persistent headaches. On examination, she was pale and tachycardic and had a palpable spleen. Full blood count showed Hb 60 g/L.
Creatinine was 97 μmol/L. What does the intravenous urogram indicate? What should be the next line of treatment? Source: Lancet *This case is from Docplexus editorial team for educative purpose only