@Article{,
AUTHOR = {Krishna Amuluru, Bradley A. Erickson, Onisura Okotie,
Robert B. Nadler},
TITLE = {Bilateral ureteral obstruction from papillary necrosis secondary to household cleaner ingestion},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {16},
YEAR = {2009},
NUMBER = {3},
PAGES = {4701--4703},
URL = {http://www.techscience.com/CJU/v16n3/62188},
ISSN = {1488-5581},
ABSTRACT = {We report a case of a patient who developed bilateral 
hydroureteronephrosis from papillary necrosis secondary 
to ingestion of commercial toilet bowl cleaner. Eight days 
after her ingestion, acute renal failure prompted a renal 
ultrasound that showed bilateral hydroureteronephrosis. 
Emergent bilateral percutaneous nephrostomy tubes 
were placed and subsequent ureteroscopy revealed a large 
amount of obstructing necrotic material consistent with 
papillary necrosis. Ureteroscopic removal of the material 
and bilateral ureteral stents improved renal function. The 
etiology of this patient’s papillary necrosis was likely due 
to a combination of hypovolemia, systemic acidosis from 
the ingestion, and direct toxicity of the substance on the 
renal vasculature. This case demonstrates the importance 
of early recognition of renal insults and the extra intestinal 
manifestations of toxic household ingestions.},
DOI = {}
}