Giant Hydronephrosis - A Late Diagnosis of Ureteropelvic Junction Obstruction

Luis Sepulveda, Filipe Rodrigues


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.



Giant hydronephrosis; Ureteropelvic junction obstruction; Adult

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World Journal of Nephrology & Urology, quarterly, ISSN 1927-1239 (print), 1927-1247 (online), published by Elmer Press Inc.                     
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