[Bilateral distal ureteral obstruction: unusual complication of appendicular abscess]

We describe the case of a 6-year-old boy who presented post-renal anuria and renal failure five days after appendectomy and drainage of a periappendicular abscess. Only mild dilatation of the urinary tract was observed on ultrasound and small calculi were documented at the ureterovesical junction bilaterally. Diuresis was restored by the insertion of uretercatheters. Awareness of this complication and immediate treatment can avoid permanent impairment of renal function.