
Giant hydronephrosis is a relatively rare condition caused by obstruction of the renal collecting system that can present with a great number of different types of abdominal signs and symptoms. A32 year old man (alchohlic) presented in our hospital with massive ascites clinically misdiagnosed as chronic liver disease. The condition, although unusual, is not rare. However, for the hydronephrosis to attain such proportions that clinically it simulates ascites, as occurred in our patient presented in this report. Our purpose in describing this case to call attention to the dangers attendant upon misdiagnosis.