ESPN 50th Annual Meeting

ESPN 2017


 
GIANT HYDRONEPHROSIS DUE TO URETEROPELVIC JUNCTION OBSTRUCTION: A CASE REPORT
AYŞE SEDA PINARBAŞI 1 ZUBEYDE GUNDUZ 1 VAROL NALÇACIOĞLU 2 RUHAN DUSUNSEL 1 DENİZ DEMİRCİ 2 HAKAN POYRAZOGLU 1 NIHAL SAHİN 1 ISMAIL DURSUN 1

1- ERCIYES UNIVERSITY FACULTY OF MEDICINE, DEPARTMENT OF PEDIATRIC NEPHROLOGY
2- ERCIYES UNIVERSITY FACULTY OF MEDICINE, DEPARTMENT OF PEDIATRIC UROLOGY
 
Introduction:

Ureteropelvic junction obstruction (UPJO) is the most common cause of prenatal hydronephrosis and has an incidence of 1 in 1,000–1,500 newborns. Hydronephrosis caused by UPJ does not always progress, but may increased rapidly and without warning in adult life. Giant hydronephrosis is defined as a hydronephrotic kidney containing more than 1 lt of fluid and the cause is usually due to a delay in diagnosis and treatment

Material and methods:

We will present a 16 years old girl who was admitted with complain of flank pain and diagnosed as giant hydronephrosis required surgery.

Results:

A 16-year-old girl, who was attended to another center with flank pain, was admitted our hospital with seriously increased right kidney size measuring 220 mm in diameter with thinning of the renal parenchyma and nephrolithiasis. Computerized abdominal tomography was remarkable for UPJO with a lesion in a multicystic structure extending to the pelvis grim in the size of 25x13x15 cm. Her biochemistry was normal in terms of kidney functions. Markedly decreased renal uptake in right kidney (% 20) was detected by Tc-99m. Pyeloplasty was done. Then, her flank pain was gradually decreased.  

Conclusions:

Giant hydronephrosis may be detected at an advanced age with nonspecific complaints such as  flank pain. In general, nephrectomy is performed if there is non-functioning kidney. Our patient underwent pyeloplasty because of having functioning kidney. Giant hydronephrosis should be kept in mind in children having chronic flank pain even in teenagers.