Giant hydronephrotic kidney in adolescence- A rare case report and a review of the literature

Sajad Ahmad Para; Sajad Ahmad Wani; Krishna Murty

doi:10.1016/j.eucr.2019.101029

Giant hydronephrotic kidney in adolescence- A rare case report and a review of the literature

Urol Case Rep. 2019 Sep 24:28:101029. doi: 10.1016/j.eucr.2019.101029. eCollection 2020 Jan.

Authors

Sajad Ahmad Para¹, Sajad Ahmad Wani², Krishna Murty³

Affiliations

¹ Consultant Urology Subharti Hospital, Meerut, UP, India.
² Consultant Paediatric Surgery and Paediatric Urology Subharti Hospital, Meerut, UP, India.
³ Consultant Genaral and Minimal Invasive Surgery Subharti Hospital, Meerut, UP, India.

Abstract

Giant hydronephrotic kidney is a rare form of obstructive uropathy in adolescents. We report a 19 year old girl with huge abdominal distention secondary to hydronephrotic kidney. The cystic swelling occupied whole of the abdominal cavity with other structures being compressed. She presented with progressive distention of abdomen with early satiety. Subsequently ultrasonological and CT scan evaluation revealed a giant hydronephrosis of right kidney occupying almost whole abdomen. Such presentation of PUJ obstruction is rare. We present this case in which percutaneous nephrostomy with slow decompression was done as initial treatment to relieve symptoms and prevent complications.

Keywords: Giant hydronephrosis; Percutaneous nephrostomy; Ureteropelvic junction obstruction.

Publication types

Case Reports