DOI: 10.36347/sjmcr.2018.v06i08.016

Pages: 548-551

A 68-year-old woman noticed abdominal pain, facial edema and foamy urine. At a local clinic, laboratory finding depicted hyperkalemia and hypercreatininemia, so she was directed to a local hospital. There, she was diagnosed with right dominant bilateral hydronephrosis and bladder tumor with acute renal failure (ARF). She was then transferred to our hospital, where she received urgent cystoscopy and renal replacement therapy on the 2nd hospital day, right nephrostomy on the 4th hospital day and transurethral resection of bladder tumor (TURBT) on the 14th hospital day. After TURBT, her hypercreatininemia returned to the normal limit, and she was discharged on the 21st hospital day. This is a rare case of bladder cancer in which ARF was the initial symptom, having been induced by bilateral hydronephrosis created by the cancer. Computed tomography made it easy to diagnose bilateral hydronephrosis and bladder tumor simultaneously.