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Giant hydronephrotic kidney masquerading as bowel obstruction : a rare case report and review of literature

Unilateral hydronephrosis is swelling of one kidney due to backup of urine.Unilateral hydronephrosis occurs in approximately 1 in 100 people. Any kidney harbouring 1000cc or more of fluid is considered as massive/giant hydronephrosis. Despite the frequency in use of prenatal ultrasonography, giant hydronephrosis may still be seen in adult population. We report a rare case of an adult male patient aged 30yrs with giant hydronephrosis of the right kidney,who presented with symptoms of subacute bowel obstruction. Literatures have reported very few cases presenting with this symptom. The patient underwent an uneventful retroperitoneal right total nephrectomy and the histopathology reported hydronephrosis of right kidney with pyelonephritic changes. The patient is symptom free till date and has normal renal functions.