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Updated: May 6, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
About a case report of giant hydronephrosis
Enrique Mediavilla1, Roberto Ballestero, Miguel Angel Correas
1Hospital Universitario Marqués de Valdecilla, Facultad de Medicina, Universidad de Cantabria, Servicio de Urología, Avenida Valdecilla No. 25, Santander, 39008 Cantabria, Spain.
Abstract:
Introduction. Our objective is to report a case of an infrequent entity as the giant hydronephrosis. Case Report. We report the case of an 82-syear-old male referred for a poor general condition. A radiological study revealed a great left hydronephrosis secondary to an urothelial carcinoma. The patient died due to his poor general condition. A histological diagnosis revealed a transitional cell carcinoma of renal pelvis and ureter and atrophic renal parenchyma. Conclusion. Giant hydronephrosis represents a very often entity to be taken into account in cases with big cystic abdominal masses in absence of unilateral or bilateral kidney. Simple nephrectomy is the treatment of choice in most cases. Nevertheless, in cases of nonsubsidiary surgery, percutaneous drainage may be necessary.
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