Hydronephrosis in Infants and Children

Uson, Aurelio C.

doi:10.1001/jama.1968.03140320021006

Cited by 21 publications

(9 citation statements)

References 10 publications

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“…Shudo et al [19] described the theoretical risk of malignancy due to chronic stimulation by left out stones in the HDN kidney. Uson et al [20] reported 70% nephrectomy rate while Crooks et al [8] reported 30% nephrectomy rate in kidneys with GH. Our series reported nephrectomy in 37.1% of the patients (42.1% in adults and 31.25% in children) which is comparable to 33% reported by Sataa et al [21] and Crooks et al [8] .…”

Section: Discussionmentioning

confidence: 99%

Giant hydronephrosis: still a reality!

Kaura

Kumar

Sokhal

et al. 2017

Turkish Journal of Urology

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Objective: Giant hydronephrosis (GH) is a rare entity in both developed and developing countries with less than 500 cases reported in the literature. Delayed diagnosis and management of GH, can result in long-term complications like hypertension, rupture of the kidney, renal failure and malignant change. We aim to highlight the importance of this often neglected entity and build a consensus for its early diagnosis and management. Material and methods:Patients with GH were thoroughly worked up, managed and followed up between June 2013 and December 2015 and epidemiologic, radiological, perioperative and follow-up data was recorded.Results: A total of 35 patients (adults and children) were reported. Flank pain in adults and abdominal lump in children were the most common clinical presentation. Percutaneous nephrostomy tube was placed in all patients and detailed work up was done to reach final diagnosis. Pelvi-ureteric junction obstruction (PUJO) was the final diagnosis in 32 patients (91.4%). Kidneys were non-functioning in 13 cases (37.1%) so nephrectomies were performed. Reduction pyeloplasty with nephropexy was done in 21 patients (60%) with 81% success and 23.1% complication rates. Conclusion:GH requires early diagnosis and management to prevent higher nephrectomy rate along with poor success rate of conservative surgery like pyeloplasty.

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Section: Discussionmentioning

confidence: 99%

Giant hydronephrosis: still a reality!

Kaura

Kumar

Sokhal

et al. 2017

Turkish Journal of Urology

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“…It is known that delay in treatment leads to irreversible damage to renal parenchyma necessitating nephrectomy. Nephrectomy was the treatment in the past when giant hydronephrosis was diagnosed, mostly due to ureteropelvic junction obstruction (11–14). There have not been any reports of giant hydronephrosis leading to nephrectomy in infants in the English language literature for over a decade.…”

Section: Discussionmentioning

confidence: 99%

Abdominal mass in a 3‐month‐old infant

et al. 2007

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CASEA 3-month-old female child was referred to our clinic with abdominal distention for the past 1 month (Fig. 1). This was the parent's only major concern about the health of the child. The weight of the child was 4.2 kg (<3%), and her intake and output was normal since birth. There was no history of fever or lethargy. There was no family history of liver, gastrointestinal or renal disease. The mother had a regular uneventful prenatal follow-up and reported a normal ultrasound at 18 weeks of pregnancy. The child was born full term by normal vaginal delivery. The child was examined at the age of 2 and 6 weeks by the family physician and was reported to be well.At the time of admission the child's heart rate and the blood pressure were 146 per minute and 80/50 mmHg, respectively. On examination the abdomen was markedly distended although the child did not appear in any apparent distress. On palpation, the abdomen was non-tender with a mass felt all over the abdomen. The remainder of the examination was normal. Laboratory evaluation revealed serum sodium of 136 mmol/L, chloride 106 mmol/L and potassium 4.2 mmol/L. Blood urea nitrogen and serum creatinine concentrations were 3.51 mmol/L and 97.24 mol/L,

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“…Die Gigantohydronephrose stellt ein seltenes klinisches Krankheitsbild dar, über das in der Literatur 200 kasuistische Beiträge vorliegen (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(15)(16)(17)(18)(19). Definitionsgemäß handelt es sich um ein Nierenhohlsystem, daß beim Erwachsenen mehr als 11 (15), beim Kind das Äquivalent der täglichen Urinausscheidung (19) oder alternativ 2-4% des Körpergewichts an Flüssigkeit (17) enthält.…”

Section: Giant Hydronephrosis -Ureteropelvic Junction Obstruction -Chunclassified