A GIANT BILATERAL HYDRONEPHROSIS CASE SAVED DESPITE THE PATIENT'S NEGLIGENCE

Year 2024, Volume: 15 Issue: 4, 90 - 92, 25.12.2024

Lale Tuna , Oya Güven , Mehmet Tamer Çomaklı , Muzaffer Savaş Tepe

https://doi.org/10.33706/jemcr.1498336

Abstract

Introduction: Hydronephrosis due to nephrolithiasis is common, but giant hydronephrosis is rare in adults. Most of the cases previously identified in the literature are unilateral. In the study, we presented bilateral giant hydronephrosis.
Case Report: A 40-year-old male patient stated that he had stones in both kidneys and took at least 2-3 tablets of various painkillers daily but did not come to urology check-ups due to the pandemic. The examinations detected bilateral giant hydronephrosis, and the parenchyma was severely thinned. The patient underwent bilateral ureterorenoscopic lithotripsy and inserted a double J catheter. Seven liters of fluid were drained from the right and 8 liters from the left. It was determined that the size of both kidneys of the patient, who was followed for two years, decreased by half.
Conclusion: Bilateral giant hydronephrosis cases are rarely seen in the literature. With the findings in this study, we tried to show that damaged both kidneys are not life-threatening, and the COVID-19 pandemic has affected our health directly and indirectly.

Keywords

Hydronephrosis, giant, adult, COVID-19

References

• 1. Yiee J, Wilcox D.Management of fetal hydronephrosis. Pediatric Nephrology2008; 23: 347-353.
• 2. Kaura KS, Kumar M, Sokhal AK, Gupta AK, Purkait B, Saini D, et. al. Giant hydronephrosis: still a reality!. Turkish Journal of Urology 2017; 43 (3): 337.
• 3. Nuraj P, Hyseni N. The diagnosis of obstructive hydronephrosis with color doppler ultrasound.Acta Informatica Medica 2017; 25(3): 178.
• 4. Chi AC, Flury SC. Urology patients in the nephrology practice. Advances in Chronic Kidney Disease2013; 20(5): 441-448.
• 5. McDougal WS.Wein AJ. Kavoussi LR. Partin AW. Peters CA. Campbell-Walsh urology 11th edition review E-book. Elsevier Health Sciences; 2015.
• 6. Golcuk Y,Ozsarac M, Eseroglu E, Yuksel MB.Giant hydronephrosis. Western Journal of Emergency Medicine2014;15 (4): 356.
• 7. Hassen SM,Issack FH, Mummed FO, Hassen IK.Giant hydronephrosis secondary to ureteropelvic junction obstruction, a rare occurrence, case report. Urology Case Reports2021; 39: 101803.
• 8. SallamiS, Cherif K, Ben RS, Dagudagui N, Rochdi E, Nidhameddine K, et al. Giant hydronephrosis in adults: What is the best approach? Retrospective analysis of 24 cases. Nephro-Urol Mon. 2011; 3 (3):177-181.