A Case Report of Giant Hydronephrosis with a 12-liter volume in a 22-Year-Old married woman

Authors

DOI:

https://doi.org/10.58342/ghalibMj.V.2.I.2.7

Keywords:

Giant Hydronephrosis, UPJ Obstruction, Nephrectomy

Abstract

Background: The objective of this study was to evaluate different treatment approaches for pain and symptoms associated with left kidney infection. These approaches include open or minimally invasive surgery as well as modern medical techniques, each with its own advantages and disadvantages. This clinical case was managed at Herat Regional Hospital. Since hydronephrosis can range from mild swelling to complete kidney failure and even death, we aimed to investigate this condition in detail.

Case presentation: A 22-year-old married woman with two children, illiterate, a housewife, and with mild intellectual delay, presented to Herat Regional Hospital. The purpose of this case report is to describe a rare presentation of massive hydronephrosis and assess the potential risks it poses to patients’ lives. Hydronephrosis is generally defined as the accumulation of urine within the renal collecting system due to obstruction of the urinary tract, and it can be categorized into primary and secondary types.

Conclusion: This case highlights that several factors, including congenital anomalies, structural abnormalities, kidney stones, tumors, and severe infections, may cause hydronephrosis. Various diagnostic modalities such as ultrasound, CT scans, and renal function tests can be used to determine its severity. Treatment options depend on the underlying cause and the degree of hydronephrosis, and may include surgical removal of blockages, infection control, preservation of kidney function, and supportive care. Delay or neglect in proper management can lead to irreversible renal failure, recurrent infections, and hypertension. Therefore, the use of modern and effective diagnostic and therapeutic methods is essential in the management of hydronephrosis.

Author Biographies

Ghulam Rabbani Habibi , Department of Urology, Herat Regional Hospital, Herat, Afghanistan

Department of Urology, Herat Regional Hospital, Herat, Afghanistan

Sohail Afsharzadah, Department of Urology, Herat Regional Hospital, Herat, Afghanistan

Department of Urology, Herat Regional Hospital, Herat, Afghanistan

Nazir Ahmad Shekari , Department of Urology, Herat Regional Hospital, Herat, Afghanistan

Department of Urology, Herat Regional Hospital, Herat, Afghanistan

Shahram Habibi , دیپارتمنت یورولوژی، شفاخانه حوزوی هرات، هرات، افغانستان

دیپارتمنت یورولوژی، شفاخانه حوزوی هرات، هرات، افغانستان

Ghulam Farooq Fayez, General Department, Faculty of Curative Medicine, Ghalib University, Herat, Afghanistan

General Department, Faculty of Curative Medicine, Ghalib University, Herat, Afghanistan

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Published

2025-09-22

How to Cite

1.
Habibi GR, Afsharzadah S, Shekari NA, Habibi S, Fayez GF. A Case Report of Giant Hydronephrosis with a 12-liter volume in a 22-Year-Old married woman. مجلۀ علوم طبی غالب [Internet]. 2025 Sep. 22 [cited 2025 Oct. 3];2(2):75-80. Available from: https://www.mj.ghalib.edu.af/index.php/mj/article/view/82

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مقاله‌های گزارش موردی