Letter to the Editor
Rapidly Developing Lower Abdominal Mass with Pronounced Azotemia: The Importance of Imaging
Abstract
To the Editor:
The association of a rapidly developing midline lower abdominal mass, the absence of urine output, and azotemia suggests lower urinary tract obstruction. The decision to manage a patient presenting with advanced obstructive azotemia with urinary bladder drainage and monitoring of the renal function, or instead to institute emergency dialysis, is based primarily on the presence of clinical indications for dialysis and on the degree of azotemia.1 We present a patient in whom imaging features also assisted in choosing the method of therapy.
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