Ukpong Albert Efiong, Essiet Ifiok Udo, Kudamnya Ikwo Jonathan
University of Uyo Teaching Hospital, Uyo, Nigeria.
Urol Case Rep. 2021 May 2;38:101693. doi: 10.1016/j.eucr.2021.101693. eCollection 2021 Sep.
Giant Hydronephrosis in the adult can reach elephantoid proportions, containing several liters of fluid. It can be associated with rare renal neoplasms. We present a 27 year old man with progressive painless abdominal distention whose imaging investigations (ultrasound and CT scan) disclosed a left GH. This was successfully removed en-bloc by simple nephrectomy via a midline laparotomy. Obstruction was at the UPJ, the mass contained 13.5L of fluid and histopathologic examination revealed Angiomyolipoma of the kidney and pelvis. This is a rare discovery in a rare pathology.
成人巨大肾积水可发展到象皮肿样大小，容纳数升液体。它可能与罕见的肾肿瘤有关。我们报告一名27岁男性，因进行性无痛性腹部膨隆就诊，影像学检查（超声和CT扫描）显示为左巨大肾积水。通过中线剖腹术行单纯肾切除术成功将其整块切除。梗阻位于肾盂输尿管连接部，肿块含有13.5升液体，组织病理学检查显示肾和肾盂血管平滑肌脂肪瘤。这在一种罕见的病理情况中是一个罕见的发现。
