Giant Hydronephrosis Due to Congenital Uretropelvic Junction Obstruction, a Report of 2 cases
Journal of Pediatric Nephrology,
Vol. 2 No. 2 (2014),
Ureteropelvic junction (UPJ) stenosis occurs in 13% of children. Antenatally, the diagnosis is possible by showing renal pelvis dilatation by obstetric ultrasonography. Giant hydronephrosis (GH) is a rare condition. There are different etiologies for GH which are mostly congenital and occur during infancy and childhood. GH was confirmed by complementary evaluations in a 2-month-old female infant with poor feeding, lethargy, and vomiting together with an antenatal sonography in favor of hydronephrosis, and a 5-year-old boy with an abdominal mass diagnosed by sonography following 2 weeks of progressive abdominal distention. Pyeloplasty was associated with an excellent result in both of them.
Keywords: Hydronephrosis; Ureteral Obstruction; Congenital; Urologic Diseases.
How to Cite
Armando J. Lorenzo, Dagmar Csaicsich, Christoph Aufricht, and Antoine E. Khoury “Obstructive Genitourinary Disorders” In: Geary, Denis F, Schaefer, Franz. “Pediatric nephrology”. Lippincott Williams & Willkins 2011. P. 561-68.
Debnath J, Roy R, Kumar S, Pandit A. Cogenital Giant Hydronephrosis: A rare cause of upper abdominal mass in the newborn ;J Clin Neonatol 2013;2(1):33–35.
Earlham MS: Giant Hydronephrosis. J Urol 1950;63:195.
Crooks KK, Hendren WH, Pfister RC; Giant hydronephrosis in children. J. Pediatr. Surg 1979;14:844-50.
Chiang PH, Chen MT, chou YH, Chiang CP, Huang CH, Chien CH. Giant hydronephrosis: report of 4 cases with review of the literature. J. Formos. Med. Assoc. 1990;89:811-17.
Shanmugasundaram Rajaian, MCH, Nitin Sudhakar, MS ,DNB. Gianthydronephrosis mimicking massive ascites. ANZ journal of surgery 2012;468-469.
Grover CA, Crisp JG; Giant hydronephrosis presenting as an acute abdomen. Br. Med. J. 1964;1: 1229-30.
Schrader AJ, Anderer G, von Knobloch R, Heidenreich A, Hofmann R. Giant hydronephrosis mimicking progressive malignancy. BMC Urol. 2003;3:4.1-4
Mountney J, Chapple CR, Johnson AG. Giant hydronephrosis a diagnostic dilemma. Urol. Int. 1998;61:121-3.
Singh NK, Jha B, Khanna R, KhannaNN; Giant hydronephrosis masquerading as massive ascites. postgrad. Med. J. 1993;69:800-2.
Yilmaz E, GuneyS. Giant hydronephrosis due to ureteropelvic junction obstruction in a child: CT and MR appearances. Clin Imaging. 2002;;26(2):125-8.
Sataa S, Kerim C, Sami BR, Nizar D, Rochdi E, Nidhameddine E, et al. Giant hydronephrosis in adult: What is the best approach? Retrospective analysis of 24 cases. Nephro-Urol Mon. 2011;3(3):177-181.
Shaikh NA. Sheikhbir GS, Larik A. Giant Hydronephrosis Professional Med J 2012;19(4): 546-548.
Bawa M, Mahalik s Rao N. Gianthydronephrosis: uncommon presentation of a common disease; Arch Dis Child 2012;97:525.
Abhyankar AB, Strong D, Kothari M, Chapman S, Parahar K. 5:case reports, Giant hydronephrosis: a pitfall in the diagnosis of malrotation. BJU International 2000;86(9):1093
Uzzo RG, Poppas DP, Schuman RW, Vaughan ED Jr: An unusual cause of duodenal obstruction: ureteropelvic junction obstruction and the renoalimentary relationship; Urology. 1994;44(3):433-6.
Benhaddou H, Bellahcen M, Elazzouzi D; Giant hydronephrosis in a child (a new case report);Arch Pediatr. 2013;20(10):1126-8.
Harper JD, Shah SK, Baldwin DD, Moorhead JD; Laparoscopic nephrectomy for pediatric giant hydronephrosis. Urology. 2007;70(1):153-6.
WT Yang, C Metrewel: Diagnostic dilemmas: Giant hydronephrosis in adults: the great mimic .Early diagnosis with ultrasound Post grad Med J 1995;71: 409-412.
Masanori Yamamoto, Hatsuki Hatsuki, Koji :A Case of unilateral Giant Hydronephrosis With renal insufficency : Nagoya J. Med. Sci. 1995;58:107-110,
Sepulvedaa, b, Filipe Rodriguesa: Giant Hydronephrosis - A Late Diagnosis of Ureteropelvic Junction, World J Nephrol Urol 2013;2(1):33-35.
Nerli, R. B. Reddy, M. N. Hiremath, M. B. Shishir, D. Patil, S. M. Guntaka, A. Surgical outcomes of laparoscopic dismembered pyeloplasty in children with giant hydronephrosis secondary to ureteropelvic junction obstruction: J Pediatr Urol 2012;8(4):401-4.
Kalfa, N. Lopez, C. Baud, C. Veyrac, C. Morin, D. Averous, M. Congenital giant hydronephrosis: long-term results of primary neonatal nephroplication: Prog Uro 2006:16(4):481-4.
- Abstract Viewed: 210 times
- PDF Downloaded: 133 times