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[Giant hydronephrosis: two case reports].

A Benchekroun1, M Alami, M Ghadouane

  • 1Clinique urologique A, hôpital Avicenne, centre hospitalier universitaire, Rabat, Maroc. benchek@mtds.com

Annales D'Urologie
|May 14, 2003
PubMed
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Giant hydronephrosis, a rare condition often caused by ureteropelvic obstruction, involves over 1000 ml of fluid in the renal collecting system. This study details two cases, one treated with pyeloplasty and the other with nephrectomy.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Nephrology

Background:

  • Giant hydronephrosis is an uncommon condition characterized by significant renal pelvis dilation.
  • Ureteropelvic junction obstruction is the most frequent cause of giant hydronephrosis.
  • Stirling's 1939 definition of giant hydronephrosis involves >1000 ml fluid in the collecting system.

Observation:

  • Two pediatric cases of giant hydronephrosis secondary to ureteropelvic junction obstruction are presented.
  • Case 1: A child with ureteropelvic junction obstruction and giant hydronephrosis.

Findings:

  • Successful pyeloplasty was performed in the first case, preserving renal function.
  • Nephrectomy was necessary in the second case due to severe renal damage.

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Implications:

  • This highlights the importance of timely diagnosis and surgical intervention for ureteropelvic junction obstruction.
  • Treatment strategies for giant hydronephrosis should be individualized based on renal function and anatomy.
  • Early intervention can prevent irreversible renal damage and improve patient outcomes.