Department of Urology, Meizhou People's Hospital (Huangtang Hospital), ChinaFulltext PDF
We reported a patient with right giant hydronephrosis developed pulmonary thromboembolism the day after left percutaneous nephrolithotomy. The patient was a 50-year-old woman presented with left-sided flank pain. Computed tomography scan showed a huge cystic right kidney secondary to upper ureteric calculi occupying almost three-fourth of the abdominal cavity. The left kidney also showed moderate hydronephrosis with left upper ureteric calculi. Left percutaneous nephrolithotomy and right double-J catheterization were performed. However, the patient suddenly experienced syncope after off-bed activity the day after surgery. Urgent computed tomography scan showed thrombosis in the right main pulmonary artery. The patient had a good recovery with anticoagulant therapy and underwent right nephrectomy finally. This case will strengthen the awareness of giant hydronephrosis as a potential high risk factor for thromboembolism. We recommend pre-operation color Doppler ultrasound and urgent treatment for the giant hydronephrosis.
Giant; Hydronephrosis; Pulmonary thromboembolism; Risk factor
Jiang H. Giant Hydronephrosis: A Potential Risk Factor for Pulmonary Thromboembolism. A Case Report. Ann Clin Case Rep. 2019; 4: 1591.