Giant Hydronephrosis - A Late Diagnosis of Ureteropelvic Junction Obstruction

Abstract

Ureteropelvic junction obstruction is the most common cause of neonatal hydronephrosis, with an overall incidence of 1:1,500. Since the widespread use of ultrasound in pregnancy, most cases are discovered early in life; however, if the diagnosis isnt suspected in the newborn and the patient remains asymptomatic, the hydronephrosis can progress over time and reach disproportional dimensions. We report a case of giant hydronephrosis in a 27-year-old man presented with severe sepsis secondary to pneumonia and incidental finding of abdominal mass. The current literature is also reviewed.




doi: http://dx.doi.org/10.4021/wjnu95w