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Arch Dis Child 97:525 doi:10.1136/archdischild-2011-300770
  • Miscellanea
  • Images in paediatrics

Giant hydronephrosis: uncommon presentation of a common disease

  1. K L N Rao
  1. Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Monika Bawa, Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Advanced Pediatric Centre, 3rd floor A Block, PGIMER, Chandigarh 160012, India; monikabawa{at}hotmail.com
  • Received 24 August 2011
  • Accepted 18 November 2011
  • Published Online First 3 January 2012

A 5-year-old boy presented with progressively increasing abdominal distension since birth with no associated urinary or gastrointestinal symptoms. A large, non-tender, soft, cystic intra-abdominal lump occupying almost the whole abdomen could be palpated (figure 1). Other systemic examination and all blood tests were normal.

Figure 1

Gross abdominal distension with a mass occupying the whole abdomen.

A contrast-enhanced CT scan revealed a large complex cystic mass of …