PMC270038_01
Intravenous Urography. Intravenous urography showed good excretion of contrast by the left kidney and ureter, however, there was no contrast medium excretion on the right side. In addition, an oval structure with peripheral calcification appeared in projection to the pelvis, which compressed the urinary bladder from cranial.
1471-2490-3-4-1.jpg
PMC270038_01_1471-2490-3-4-1.jpg
F1
In addition, an oval formation, about 10 x 12 cm in diameter with peripheral calcification, appeared in projection to the pelvis, which compressed the urinary bladder from cranial (Figure 1).
Abdominal CT scan. CT scan of the giant abdominal tumour filling almost the entire abdominal cavity displacing the small intestine, colon, pancreas, spleen and the left kidney.
1471-2490-3-4-2.jpg
PMC270038_01_1471-2490-3-4-2.jpg
F2
It was analysed by two independent radiologists who suspected a tumour originating from the right kidney (Figure 2) and additionally an independent cystic ovarian neoplasm (Figures 3 and 4).
Cranial pelvic CT scan. CT scan of the second structure, which was localised in the pelvis and diagnosed to be a cystic ovarian neoplasm: cranial scan.
1471-2490-3-4-3.jpg
PMC270038_01_1471-2490-3-4-3.jpg
F3
It was analysed by two independent radiologists who suspected a tumour originating from the right kidney (Figure 2) and additionally an independent cystic ovarian neoplasm (Figures 3 and 4).
Caudal pelvic CT scan. CT scan of the second structure, which was localised in the pelvis and diagnosed to be a cystic ovarian neoplasm: caudal scan.
1471-2490-3-4-4.jpg
PMC270038_01_1471-2490-3-4-4.jpg
F4
It was analysed by two independent radiologists who suspected a tumour originating from the right kidney (Figure 2) and additionally an independent cystic ovarian neoplasm (Figures 3 and 4).
Operative situs. Intraoperative picture of the giant hydronephrosis with focus on the renal pedicle.
1471-2490-3-4-5.jpg
PMC270038_01_1471-2490-3-4-5.jpg
F5
The right renal hilar vessels could finally be identified at its basis (Figure 5).
Pathologic specimen. Giant hydronephrotic right kidney, 35 x 30 x 25 cm in diameter with a weight of >15 kg.
1471-2490-3-4-6.jpg
PMC270038_01_1471-2490-3-4-6.jpg
F6
The histopathological examination revealed a >15 kg hydronephrotic right kidney lacking hardly any residual renal cortex parenchyma (Figure 6).