A Case of Bilateral Infected Kidney Stones Presenting With Septic Shock and Acute Kidney Injury

The incidence of unilateral ureteral calculi has been reported at 20% in the literature; however, cases of bilateral kidney stones are not commonly reported in the urology, nephrology, and emergency medicine literature. Here, we present the case of a 31-year-old female who presented to the emergency department with septic shock and acute kidney injury. Acute kidney injury was initially thought to be prerenal secondary to septic shock but later found to have complete bilateral ureteral obstruction as a cause of septic shock and acute kidney injury. Urinary tract infection and sepsis secondary to bilateral obstructing ureteral stones are some of the few true urological emergencies. Anuria is the common presenting feature of complete urinary tract obstruction, and physicians should have a high index of suspicion for this diagnosis in anuric patients as rare as it is.