About a Case Report of Giant Hydronephrosis

Abstract

Introduction. Our objective is to report a case of an infrequent entity as the giant hydronephrosis. Case Report. We report the case of an 82-syear-old male referred for a poor general condition. A radiological study revealed a great left hydronephrosis secondary to an urothelial carcinoma. The patient died due to his poor general condition. A histological diagnosis revealed a transitional cell carcinoma of renal pelvis and ureter and atrophic renal parenchyma. Conclusion. Giant hydronephrosis represents a very often entity to be taken into account in cases with big cystic abdominal masses in absence of unilateral or bilateral kidney. Simple nephrectomy is the treatment of choice in most cases. Nevertheless, in cases of nonsubsidiary surgery, percutaneous drainage may be necessary.

About 4 Cases Report of Giant Hydronephrosis Inurology Department of the National University Healthcare, CNHU HKM of Cotonou

“…The left flank was dominant among women 4/4 cases vs against a 3/2 in a previous study [6], whereas it is right flank among men (ratio 2/1). These results corroborate the ratio of 34 right flanks and 14 left flanks recorded by Viville et al [3] whereas Bernheim et al [7] in Tel Aviv Renal function may be maintained, reduced, or even deteriorated [11]. The obliteration of the parenchyma is often done slowly and discovered at a late age; it could also evolve rapidly without any symptoms [12].…”

Unusual cause of dysphagia

“…Patients with giant hydronephrosis commonly report symptoms of abdominal pain (maybe intermittent) and fullness (or distension) 6. These symptoms were also consistent in other case reports 6–9. Other symptoms include constipation, loss of appetite, urinary tract infection and haematuria 7.…”

Experience of a tertiary-level urology center in the clinical urological events of rare and very rare incidence. IV. Urological surprises: 2. Clinically visible giant hydronephrosis in adults: Is there a significant function?

“…Although the renal mass of giant hydronephrosis is occasionally visible, it is usually soft and could be missed on abdominal palpation in these cases [20][21][22]. Imaging investigations for hydronephrosis are directed to the determination of anatomical issues such as the cause of obstruction and functional issues such as the total and split renal functions [17].…”