Joseph Meenu, Darlington Danny
Nephrology, Pondicherry Institute of Medical Sciences, Pondicherry, IND.
Urology, Pondicherry Institute of Medical Sciences, Pondicherry, IND.
Cureus. 2020 Jun 19;12(6):e8702. doi: 10.7759/cureus.8702.
Giant hydronephrosis is defined as a dilated collecting system containing more than one liter of fluid. The diagnosis of giant hydronephrosis is rare due to improved diagnostics and the liberal use of abdominal imaging. Herein we report a 40-year-old woman who presented with acute onset abdominal pain and was diagnosed with giant hydronephrosis. She underwent a simple open nephrectomy and made an unremarkable recovery. Although giant hydronephrosis due to ureteropelvic junction obstruction is common in the pediatric and adolescent age group, it rarely presents in adults. Acute presentations, like abdominal pain, are exceedingly rare. Judicial use of cross-sectional imaging, as in our patient, can confirm the diagnosis and help in successful management.
巨大肾积水被定义为扩张的集合系统内含有超过一升的液体。由于诊断技术的改进以及腹部影像学检查的广泛应用，巨大肾积水的诊断较为罕见。在此，我们报告一名40岁女性，她因突发腹痛就诊，被诊断为巨大肾积水。她接受了单纯开放性肾切除术，术后恢复顺利。虽然输尿管肾盂连接处梗阻所致的巨大肾积水在儿童和青少年年龄组中较为常见，但在成人中很少出现。像腹痛这样的急性表现极为罕见。如我们的患者那样合理使用横断面成像检查，能够确诊并有助于成功治疗。
