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).
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Published online: June 09, 2011
Accepted: November 21, 2010
Received in revised form: June 17, 2010
Received: April 14, 2010
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.