A RARE COMPLICATION OF ACUTE APPENDICITIS - COMPLETE BILATERAL DISTALURETERAL OBSTRUCTION

Three children treated for appendicitis developed anuria and acute ren al insufficiency several days after appendicectomy. Associated hydrone phrosis or hydroureters were present in two. At cystoscopy, marked swe lling of the trigonum and ureteric orifices was seen. One patient deve loped unilateral acute tubular necrosis, a complication not reported b efore. Recognition of this rare complication of acute appendicitis, wh ich need not be accompanied by hydronephrosis, should lead to prompt d ecompression by the introduction of ureteric stents.