“Accidental” Diagnosis of a Silent Giant Hydronephrosis

Giant hydronephrosis is defined as the presence of more than 1000 mL of fluid in the collecting system. While usually affecting children, uncommonly, adults may be affected, and it can be mistakenly diagnosed as a tumor. We present a case of silent giant hydronephrosis in an adult, misdiagnosed initially as a tumor, and subsequently confirmed as giant hydronephrosis postoperatively.

Sessiz Bir Dev Hidronefrozun “Rastlantısal” Tanısı

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.

Kaynakça

Stirling WC. Massive hydronephrosis complicated by hydroureter. Report of 3 cases. J Urol 1939; 42:520-533.

Wu CC, Sun GH. Giant hydronephrosis. Mayo Clin Proc 2009;84:954.

Sepulveda L, Rodrigues F. Giant hydronephrosis - a late diagnosis of ureteropelvic junction obstruction. World J Nephrol Urol 2013;2:33-35.

Yang WT, Metreweli C. Giant hydronephrosis in adults : the great mimic. Early diagnosis with ultrasound. Postgrad Med J 1995;71:409-412.

Schrader AJ, Anderer G, Knobloch RV, Heidenreich A, Hofmann R. Giant hydronephrosis mimicking progressive malignancy. BMC Urol 2003;3:4.

Kaynak Göster

  • ISSN: 2148-9580
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2014

2.4b 1.6b

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