Child Kidney Dis.  2017 Oct;21(2):147-151. 10.3339/jkspn.2017.21.2.147.

A Case of Giant Hydronephrosis Hidden by Obesity in an 11-year-old Boy

Affiliations
  • 1Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea. kisoopai@ajou.ac.kr
  • 2Department of Urology, Ajou University School of Medicine, Suwon, Korea.
  • 3Department of Radilogy, Ajou University School of Medicine, Suwon, Korea.

Abstract

Giant hydronephrosis (GH) is a rare urological entity and usually presents with more than a liter of fluid in the collecting system. It may mimic a progressive and benign abdominal cystic tumor. We report a case of GH in an 11-year-old obese boy who presented with abdominal distension and dyspnea on exercise. Hydronephrosis was caused by ureteropelvic junction obstruction, with 2,300 mL of fluid in the collecting system. Diagnostic and therapeutic features of this case are discussed, with reference to current literature.

Keyword

Giant hydronephrosis; Obesity; Dyspnea; Abdominal distension

MeSH Terms

Child*
Dyspnea
Humans
Hydronephrosis*
Male*
Obesity*
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