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A 36-year-old man presented to the Emergency Department with sudden onset of left
flank pain, difficulty voiding, and fever with chills for 1 day. Physical examination
revealed a distended abdomen with left flank knocking tenderness. Plain radiography
of the abdomen revealed a huge intra-abdominal mass (Figure 1A ). Computed tomography scan of the abdomen revealed a giant hydronephrosis of the
left kidney (Figure 2). Emergent percutaneous nephrostomy was done and approximately 5870 mL of turbid
urine was drained. Follow-up plain radiography of the abdomen 5 days later demonstrated
the disappearance of the intra-abdominal cystic mass, and the calcifications had become
gathered (Figure 1B).
Figure 1(A) Plain radiography of the abdomen shows a huge intra-abdominal mass (arrows). (B)
Plain radiography of the abdomen reveals the disappearance of the mass.
