Giant Hydronephrosis - A Late Diagnosis of Ureteropelvic Junction Obstruction

Sepulveda,

doi:10.4021/wjnu95w

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…Giant hydronephrosis was defined by Stirling (1) in 1939, as the presence of more than 1000 mL of fluid in the collecting system (2,3). Most cases occur in children; uncommonly in adults and result from obstruction by calculus (4).…”

Section: Discussionmentioning

confidence: 99%

“Accidental” Diagnosis of a Silent Giant Hydronephrosis

Noh¹,

Rashid²

2018

jus

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Dev hidronefroz, toplayıcı sistemde 1000 mL'den daha fazla sıvının varlığı olarak tanımlanmaktadır. Genellikle çocukları etkilerken, nadiren yetişkinler de etkilenebilir ve yanlışlıkla bir tümör olarak teşhis edilebilir. Başlangıçta tümör olarak yanlış tanı konulan ve akabinde ameliyat sonrası sessiz dev hidronefroz olarak onaylanan bir yetişkinde, sessiz dev hidronefroz olgusunu sunuyoruz.

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Section: Discussionmentioning

confidence: 99%

“Accidental” Diagnosis of a Silent Giant Hydronephrosis

Noh¹,

Rashid²

2018

jus

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“…1 When UPJO goes undetected into adulthood it can cause significant hydronephrosis, that is, giant hydronephrosis with damage to the affected kidney, as seen in this patient. 2 Giant hydronephrosis from congenital UPJO is a rare condition in adults which presents as a large cystic abdominal mass. This case highlights the importance of recognizing this potential presentation of UPJO and obtaining appropriate subspecialty assessment and treatment.…”

Section: Answer To: Image 2 (Page 1242): Giant Hydronephrosis Secondamentioning

confidence: 99%

A Large Cystic Abdominal Mass

Nasser-Ghodsi

Sweetser

2020

Gastroenterology

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Question: A 37-year-old man with coarctation of the aorta status post corrective surgery in childhood and chronic tobacco use was referred for evaluation of a large cystic abdominal mass. Two weeks prior, he had developed acute left-sided abdominal pain after slipping on ice and falling on his back. He was evaluated at a local emergency department where computed tomography (CT) imaging of the abdomen without oral or intravenous contrast demonstrated a large cystic mass (Figure A). He was referred with a diagnosis of pseudomyxoma peritonei. Upon our evaluation of the patient, approximately 2 weeks after his fall, his abdominal pain had resolved. He denied a change in appetite, early satiation, unintentional weight loss, ongoing abdominal pain, fevers, chills, fatigue, or night sweats. He admitted to visible enlargement of his left abdomen over the past several months to years. Physical examination revealed a soft abdomen with asymmetric distension of the left compared to the right abdomen. There was no hepatosplenomegaly or ascites. Laboratory testing showed normal complete blood count, electrolytes, renal function, and liver panel. The outside CT scan of the abdomen was subsequently reviewed by several expert radiologists. What is the diagnosis? Look on page 1243 for the answer and see the Gastroenterology website (www.gastrojournal.org) for more information on submitting your favorite image to Clinical Challenges and images in GI.

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“…Ureteropelvic junction obstruction (UPJO) occurs in approximately one in 1500 adult patients where it may be congenital or occur as a result of acquired causes such as kidney stone or surgery [ 1 ]. It may present with back pain, pyelonephritis, hypertension, or even hematuria - cases may also be found incidentally at imaging, even at an advanced stage [ 2 ]. Few cases of spontaneous hemorrhage have been reported in patients with UPJO in the literature [ 3 ].…”

Section: Introductionmentioning

confidence: 99%