A giant bilateral hydronephrosis case saved despite the patient’s negligence.

İngilizce (OpenAlex)

Introduction: Hydronephrosis due to nephrolithiasis is common, but giant hydronephrosis is rare in adults. Most of the cases previously identified in the literature are unilateral. In the study, we presented bilateral giant hydronephrosis. Case Report: A 40-year-old male patient stated that he had stones in both kidneys and took at least 2-3 tablets of various painkillers daily but did not come to urology check-ups due to the pandemic. The examinations detected bilateral giant hydronephrosis, and the parenchyma was severely thinned. The patient underwent bilateral ureterorenoscopic lithotripsy and inserted a double J catheter. Seven liters of fluid were drained from the right and 8 liters from the left. It was determined that the size of both kidneys of the patient, who was followed for two years, decreased by half. Conclusion: Bilateral giant hydronephrosis cases are rarely seen in the literature. With the findings in this study, we tried to show that damaged both kidneys are not life-threatening, and the COVID-19 pandemic has affected our health directly and indirectly.