II e report a case of renal papillary necrosis which caused an acute right sided lower ureteral obstruction and hydroureteronephrosis in a diabetic patient with acute pyelonephritis and bacteremia. Appropriate clinical sellings such as diabetic urinary infections which may predispose to RPN , obstruction due to the necrotic tissue fragments must be kept in mind and necessary investigations along with early intevention should be prompted in order to restore renal function and reduce the mortality. [Journal of Turgut Özal Medical Center I(3):204-206.1994j
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