Department of Urology, School of Medicine, 21 September University, Sana'a, Yemen.
Urology Research Center, Al-Thora General Hospital, Department of Urology, School of Medicine, Ibb University of Medical Sciences, Ibb, Yemen.
Pan Afr Med J. 2022 Apr 12;41:295. doi: 10.11604/pamj.2022.41.295.33135. eCollection 2022.
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.
由于输尿管肾盂连接部梗阻导致的巨大肾盂积水是一种罕见的疾病，其特征是肾盂系统内积聚超过 1000 毫升的尿液。它可能在影像学图像中模拟其他良性囊性肾病或其他腹部肿块的原因。我们报告了一名 16 岁女性，她因腹痛和逐渐增大的腹部肿块就诊，病史为 3 个月。腹部 CT 扫描显示左侧巨大囊性肿块，提示为输尿管肾盂连接部梗阻继发的肾盂积水。患者接受了左肾切除术，从受影响的肾脏中吸出了超过 12 公升的混浊尿液。总之，巨大肾盂积水是一种罕见的疾病，应在鉴别诊断大的囊性腹部肿块时考虑到。治疗方法取决于潜在的病因和受影响肾脏的外观。
