A giant hydronephrotic pelvic kidney mimicking an ovarian cyst in a 34-week pregnancy

  • K.S. Okunade
  • A Sekumade
  • A Sajo
  • E Daramola
  • O Okojie
  • R.W. Ojewola
  • O.S. Balogun
  • B.B. Afolabi
  • R.I. Anorlu
Keywords: Caesarean section, ectopic gestation, hydronephrosis, urinary tract, cystectomy, ovarian cysts

Abstract

Background: A giant hydronephrosis is defined as a dilated pelvi-calyceal system with an amount of urine exceeding one Litre in the urinary tract of an adult. It can mimic several other clinical conditions including a huge ovarian cyst. An ectopic pelvic kidney with hydronephrosis in pregnancy is a rare occurrence.

Aim: This study documents a case of giant hydronephrosis that was wrongly diagnosed as an ovarian cyst.

Findings: A 36-year old primiparous with a giant hydronephrosis which was initially diagnosed as an ovarian cyst. She was planned for a laparotomy with caesarean section and ovarian cystectomy at 34 weeks gestation. She was delivered of a live female neonate. Further exploration was done which revealed a left ectopic kidney. She had a left simple nephrectomy because the kidney appeared totally unhealthy.

Conclusion: There is a need to be careful when dealing with cystic lesions of the abdomen. A high index of suspicion is required and further imaging other than ultrasound scan such as computerized tomography or magnetic resonance imaging may be necessary to make accurate diagnosis.

Keywords: Caesarean section, ectopic gestation, hydronephrosis, urinary tract, cystectomy, ovarian cysts

Published
2016-08-17
Section
Articles

Journal Identifiers


eISSN: 2315-5019
print ISSN: 2277-0941