A giant hydronephrotic pelvic kidney mimicking an ovarian cyst in a 34-week pregnancy
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International Journal of Medicine and Biomedical Research
Background: A giant hydronephrosis is defined as a dilated pelvi-calyceal system with an amount of urine exceeding one Litre in the urinary tract of an adult. It can mimic several other clinical conditions including a huge ovarian cyst. An ectopic pelvic kidney with hydronephrosis in pregnancy is a rare occurrence. Aim: This study documents a case of giant hydronephrosis that was wrongly diagnosed as an ovarian cyst. Findings: A 36-year old primiparous with a giant hydronephrosis which was initially diagnosed as an ovarian cyst. She was planned for a laparotomy with caesarean section and ovarian cystectomy at 34 weeks gestation. She was delivered of a live female neonate. Further exploration was done which revealed a left ectopic kidney. She had a left simple nephrectomy because the kidney appeared totally unhealthy. Conclusion: There is a need to be careful when dealing with cystic lesions of the abdomen. A high index of suspicion is required and further imaging other than ultrasound scan such as computerized tomography or magnetic resonance imaging may be necessary to make accurate diagnosis.
OKUNADE KS, SEKUMADE A, SAJO EA, DARAMOLA E, OKOJIE OE, OJEWOLA RW, BALOGUN O, AFOLABI BB, ANORLU RI. A giant hydronephrotic pelvic kidney mimicking an ovarian cyst in a 34-week pregnancy. International Journal of Medicine and Biomedical Research. 2016 August; 5(2).