Bilateral Ureteral Obstruction Secondary to Papillary Necrosis From Non-Steroidal Anti-Inflammatory Drug Use in an Adult Patient

Shannon J Leung; Theodore Cisu; Baruch M Grob

doi:10.7759/cureus.16926

Bilateral Ureteral Obstruction Secondary to Papillary Necrosis From Non-Steroidal Anti-Inflammatory Drug Use in an Adult Patient

Cureus. 2021 Aug 5;13(8):e16926. doi: 10.7759/cureus.16926. eCollection 2021 Aug.

Authors

Shannon J Leung¹, Theodore Cisu², Baruch M Grob³

Affiliations

¹ Department of Urology, Virginia Commonwealth University School of Medicine, Richmond, USA.
² Department of Urology, Virginia Commonwealth University Health System, Richmond, USA.
³ Department of Urology, Hunter Holmes McGuire Veterans Administration Medical Center, Richmond, USA.

Abstract

Prolonged use of non-steroidal anti-inflammatory drugs (NSAIDs) is known to cause renal papillary necrosis and, in rare cases, can cause sloughing of renal papillae with subsequent ureteral obstruction. We report the first documented case of an adult patient presenting with bilateral ureteral obstructions, secondary to bilateral papillary necrosis from chronic NSAID use. He subsequently underwent bilateral ureteral stent placement with rapid recovery of renal function.

Keywords: non-steroid anti-inflammatory drug; nsaid; papillary necrosis; renal papillary necrosis; ureteral obstruction.

Publication types

Case Reports