Para Sajad Ahmad, Wani Sajad Ahmad, Murty Krishna
Consultant Urology Subharti Hospital, Meerut, UP, India.
Consultant Paediatric Surgery and Paediatric Urology Subharti Hospital, Meerut, UP, India.
Urol Case Rep. 2019 Sep 24;28:101029. doi: 10.1016/j.eucr.2019.101029. eCollection 2020 Jan.
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.
巨大肾积水性肾是青少年梗阻性尿路病的一种罕见形式。我们报告一名19岁女孩，因肾积水性肾导致腹部极度膨隆。囊性肿物占据整个腹腔，压迫其他结构。她表现为腹部进行性膨隆并伴有早饱感。随后超声和CT扫描评估显示右肾巨大肾积水，几乎占据整个腹部。肾盂输尿管连接部梗阻的这种表现很罕见。我们呈现此病例，其中初始治疗采用经皮肾造瘘缓慢减压以缓解症状并预防并发症。
