Bilateral acalculus ureteric obstruction is described as rare sequelae of acute appendicitis in two paediatric patients aged 6 and 11 verbatim coupons years presented with features of anuria.Imaging and endoscopic evaluation confirmed bilateral ureteric obstruction secondary to bladder wall oedema as an low profile barn door kit inflammatory reaction to appendix.Both cases recovered following bilateral ureteric stenting and are doing well.