title: Congenital giant hydronephrosis in adults.
abstract: Giant hydronephrosis is the term designating the presence of more than 1,000 ml. of fluid in the collecting system. Of 4 cases of congenital hydronephrosis found over a three-year period at the Ochsner Medical Institutions, 2 were associated with unsuspected carcinomas. Hydronephrosis may first be detected as a mass palpable in the abdomen and displacing the intestines on gastrointestinal films. Excretory urography, retrograde pyelography, and angiography confirm the diagnosis. The treatment of choice is nephrectomy.
mesh_terms: D000230:Adenocarcinoma / Q000150:complications; D000328:Adult; D002295:Carcinoma, Transitional Cell / Q000150:complications; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000150:complications / Q000151:congenital* / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D007680:Kidney Neoplasms / Q000150:complications; D007682:Kidney Pelvis; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D014517:Ureteral Obstruction / Q000150:complications / Q000151:congenital