Bilateral total ureteric bypass in the management of renal tubular acidosis.

Nephrocalcinosis and the subsequent obstruction of the ureters by urinary calculi can be a major problem in the management of a patient with renal tubular acidosis. We describe the case history of a girl with this condition in whom the interposition of segments of ileum between the kidneys and bladder, thus bypassing the ureters, had been used in an attempt to overcome the problem of recurrent ureteric obstruction by calculi.