American Journal of Clinical Medicine Research
ISSN (Print): 2328-4005 ISSN (Online): 2328-403X Website: http://www.sciepub.com/journal/ajcmr Editor-in-chief: Dario Galante
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American Journal of Clinical Medicine Research. 2013, 1(4), 51-53
DOI: 10.12691/ajcmr-1-4-2
Open AccessCase Report

An Unusual Complication of Ureteral Stone: Massive Gastric Dilatation and Duodenal Obstruction Due to Giant Hydronephrosis

Mehmet Ali Karagoz1, Mucahit Kabar1, Arif Demirbas1 and Onur Telli1,

1Ankara Training and Research Hospital, Ankara, Turkey

Pub. Date: September 12, 2013

Cite this paper:
Mehmet Ali Karagoz, Mucahit Kabar, Arif Demirbas and Onur Telli. An Unusual Complication of Ureteral Stone: Massive Gastric Dilatation and Duodenal Obstruction Due to Giant Hydronephrosis. American Journal of Clinical Medicine Research. 2013; 1(4):51-53. doi: 10.12691/ajcmr-1-4-2

Abstract

A 42 year old man, was admitted to emergency service who suffered from nausea and vomitting for two days. In his physical examination the right side abdomen was severe distended, that had been lasting for a month. Distension was tender and cystic tough mass lesion was palbable. Plain abdominal radiography showed a 3cm radiopaque shadow in the pelvic area. Ct scan revealed massive gastric dilatation and duodenal obstruction due to giant hydronephrosis with the ureteric stone placing on the right lower ureter with a dimension of 3,5 to 3 cm. Nasogastrical decompression and right percutaneus nephrostomy catheter was performed, 5000 ml of gastric fluid and 5300 ml of nephrostomy catheter drainage was measured in the first six hours. 99m Tc-dimercaptosuccinic acid (DMSA) scan showed non-functioning right kidney and the patient finally underwent open simple nephroureterectomy. To the best of our knowledge the present patient represents one of the rarest complication of giant hydronephrosis cases reported to date.

Keywords:
giant hydronephrosis gastric dilatation ureteral stone

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