Urology Case Reports (Sep 2023)

Massive hydronephrosis due to obstruction by upper urinary tract urothelial carcinoma with compression of the inferior vena cava

  • Mohamed Trigui,
  • Yassine Ouanes,
  • Moez Rahoui,
  • Kays Chaker,
  • Mahdi Marrak,
  • Yassine Nouira

Journal volume & issue
Vol. 50
p. 102539

Abstract

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A 78-year-old woman presented with tachypnea, abdominal distension, bilateral lower limb edema, and hematuria. A contrast-enhanced CT scan of the abdomen and pelvis was performed, which revealed a significant left-sided hydronephrosis upstream of an upper urinary tract urothelial carcinoma (UUT-UC). The patient underwent a left open nephroureterectomy, and approximately 10 L of fluid were evacuated. Follow-up examinations did not show any recurrence of abdominal swelling.