Journal Basic Info
- Impact Factor: 1.809**
- H-Index: 6
- ISSN: 2474-1655
- DOI: 10.25107/2474-1655
Major Scope
- Gastroenterology
- Pneumonia
- Anatomy
- Cancer Clinic
- Epidemiology
- Breast Neoplasms
- Cardiology
- Allergy & Immunology
Abstract
Citation: Ann Clin Case Rep. 2019;4(1):1591.DOI: 10.25107/2474-1655.1591
Giant Hydronephrosis: A Potential Risk Factor for Pulmonary Thromboembolism. A Case Report
Jiang H
Department of Urology, Meizhou People's Hospital (Huangtang Hospital), China
PDF Full Text Case Report | Open Access
Abstract:
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.
Keywords:
Giant; Hydronephrosis; Pulmonary thromboembolism; Risk factor
Cite the Article:
Jiang H. Giant Hydronephrosis: A Potential Risk Factor for Pulmonary Thromboembolism. A Case Report. Ann Clin Case Rep. 2019; 4: 1591.
