PMC9250684_01
pre-operative photograph showing the abdominal distention
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F1
She was pale, and the abdomen was distended with everted umbilicus and mild abdominal tenderness (Figure 1).
abdominal computed tomography (CT) scan relived giant hydronephrosis of the left kidney: A) coronal views; B) axial views
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F2
Abdominal computed tomography scan with intravenous contrast revealed a huge left cystic mass (20x17 cm) with severe hydronephrosis and the renal cortical thickness of about 3 mm and the inferior border of mass reaching the pelvis with no obvious contrast material in the ureter or left renal arteries and caused pressure effects on other peritoneal organs (Figure 2).
A) the site of surgery after nephrectomy (arrow); B) gross image of the affected kidney with cystic dilatation (arrow)
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F3
So, puncturing and aspiration of its content were done, and more than 12 litters of turbid urine were suctioned; after that, a nephrectomy was done (Figure 3).
postoperative image of the patient after left nephrectomy
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F4
The total body weight was 41 kg (lost 11kg) (Figure 4).