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Case Reports
. 2022 Apr 12:41:295.
doi: 10.11604/pamj.2022.41.295.33135. eCollection 2022.

Giant hydronephrosis presented as a huge abdominal mass in a 16-year-old female: a case report

Waleed Aljbri  1 , Faisal Ahmed  2 , Saif Ghabisha  3 , Menawar Dajenah  3 , Ebrahim Al-Shami  2 , Qasem Alyhari  3 , Fawaz Mohammed  4
Affiliations
Case Reports

Giant hydronephrosis presented as a huge abdominal mass in a 16-year-old female: a case report

Waleed Aljbri et al. Pan Afr Med J. .

Abstract

Giant hydronephrosis owing to ureteropelvic junction obstruction is a rare condition characterized by the accumulation of more than 1000 ml of urine in the pyelocaliceal system. It could mimic the other benign cystic kidney disease or other causes of abdominal mass in radiologic images. We reported a 16-year-old female who presented with three months of abdominal pain and gradual abdominal mass ingrowth. Abdominal computed tomography scan showed a giant left cystic mass favored hydronephrosis secondary to ureteropelvic junction obstruction. The patient underwent a left nephrectomy, and more than 12 litters of turbid urine were suctioned from the affected kidney. In conclusion, giant hydronephrosis is an infrequent entity and should be considered in the differential diagnosis of large cystic abdominal masses. The treatment is determined by the underlying cause and the visual appeal of the affected kidney.

Keywords: Abdominal mass; case report; hydronephrosis; ureteropelvic junction obstruction.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
pre-operative photograph showing the abdominal distention
Figure 2
Figure 2
abdominal computed tomography (CT) scan relived giant hydronephrosis of the left kidney: A) coronal views; B) axial views
Figure 3
Figure 3
A) the site of surgery after nephrectomy (arrow); B) gross image of the affected kidney with cystic dilatation (arrow)
Figure 4
Figure 4
postoperative image of the patient after left nephrectomy
See this image and copyright information in PMC

References

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