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We thus report a case of massive abdominal distension due to GH secondary to PUJ obstruction who presented with acute duodenal obstruction due to extrinsic compression and was managed with percutaneous nephrostomy followed by open nephrectomy.<\/jats:p>","DOI":"10.1136\/bcr-2018-226819","type":"journal-article","created":{"date-parts":[[2018,10,21]],"date-time":"2018-10-21T09:05:24Z","timestamp":1540112724000},"page":"bcr-2018-226819","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Acute mechanical duodenal obstruction due to giant hydronephrosis: an unusual cause of acute abdomen"],"prefix":"10.1136","volume":"2018","author":[{"given":"Ashish","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1390-6488","authenticated-orcid":false,"given":"Samarth","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul Janak","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaurav","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,10,21]]},"reference":[{"key":"2025082801443659000_2018.oct19_1.bcr-2018-226819.1","unstructured":"Tekgul S , Riedmiller H , Dogan HS . 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About a case report of giant hydronephrosis. Case Rep Urol 2013;3.","DOI":"10.1155\/2013\/257969"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226819","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:44:44Z","timestamp":1756370684000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226819"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,21]]},"references-count":10,"alternative-id":["10.1136\/bcr-2018-226819"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226819","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,10,21]]}}}