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Giant hydronephrotic kidney mimicking intestinal obstruction
M S Ansari1, Iqbal Singh, A K Hemal
1Department of Urology, All India Institute of Medical Sciences, New Delhi, India. ansarimsa@hotmail.com
International Urology and Nephrology
|May 27, 2004
Summary
A large, nonfunctioning kidney caused a rare case of small bowel obstruction in an adult male. Emergency kidney drainage relieved the obstruction and abdominal distension, highlighting a unique clinical presentation.
Area of Science:
- Nephrology
- Gastroenterology
- Surgical Case Report
Background:
- Small bowel obstruction (SBO) is a common surgical emergency.
- Hydronephrosis, or kidney swelling, typically results from urinary tract obstruction.
Observation:
- A 30-year-old male presented with symptoms of SBO.
- Imaging revealed a massive, hydronephrotic, nonfunctioning right kidney as the cause of SBO.
- The enlarged kidney was compressing the small intestine.
Findings:
- The patient underwent emergency percutaneous nephrostomy to drain the hydronephrotic kidney.
- This procedure successfully alleviated the abdominal distension and SBO symptoms.
- Histopathological examination of the kidney is pending.
Implications:
- This case highlights a rare etiology of SBO secondary to massive renal hydronephrosis.
- It underscores the importance of considering unusual causes in the differential diagnosis of SBO.
- Prompt intervention via nephrostomy can effectively manage this presentation.