scholarly journals Crossed Renal Ectopia without Fusion: An Uncommon Cause of Abdominal Mass

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ana Ratola ◽  
Maria Miguel Almiro ◽  
Rita Lacerda Vidal ◽  
Nuno Neves ◽  
Adelaide Bicho ◽  
...  

Crossed renal ectopia is a rare congenital anomaly usually associated with fused kidneys (90%). Most cases are asymptomatic and remain undiagnosed. We report an unusual case of nonfused crossed renal ectopia. The 11-year-old adolescent female patient was admitted with abdominal pain, anorexia, weight loss, and periumbilical mass. Although the initial clinical suspicion was a tumoral lesion, abdominal ultrasound and magnetic resonance examination revealed crossed renal ectopia without fusion. The renal ectopy was incidentally diagnosed, as described in 20 to 30% of cases. In this case, the associated nonspecific symptoms were a coincidence.

2018 ◽  
Vol 100 (8) ◽  
pp. e217-e219
Author(s):  
F Hajji ◽  
K Moufid ◽  
O Ghoundale ◽  
D Touiti

Crossed renal ectopia with fusion is an extremely rare congenital anomaly with few reported cases of pelviureteric junction obstruction, which often involves the crossed-over kidney. To our knowledge, we describe the second case in literature to report an uncrossed kidney with pelviureteric junction obstruction and giant hydronephrosis, which obstructs the pelviureteric junction of the crossed-over kidney. The grossly hydronephrotic kidney was found to be poorly functioning and an aberrant crossing vessel was considered to be potentially involved, raising both diagnostic and management challenges. By reporting this case, we aim to stress the importance of adequate mapping collecting systems, drainage patterns and vascular supply in such crossed fused anomalies.


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
D. P. Ramaema ◽  
W. Moloantoa ◽  
Y. Parag

Introduction. Crossed renal ectopia is a congenital anomaly which usually goes unnoticed as most cases are asymptomatic. The majority, 90% of these are fused.Case Presentation. We report an unusual presentation of a case of crossed renal ectopia without fusion. Our patient is a 16-year-old adolescent male, previously fit and healthy, who presented with acute onset of abdominal pain. The clinical suspicion was that of an abdominal aortic aneurysm. Computed tomography with intravenous contrast revealed nonfused crossed renal ectopia.Conclusion. Although renal ectopia is an uncommon cause of acute abdominal pain, there should be an index of clinical suspicion in previously healthy individuals presenting with acute abdominal pain.


2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Koichi Kodama ◽  
Yasukazu Takase ◽  
Hiroki Tatsu

Crossed renal ectopia is a rare congenital anomaly in which both kidneys are situated on one side and fused together in 85%–90% of cases. The management of urinary calculi in patients with crossed renal ectopia continues to pose challenges to urologists because the aberrant anatomy may make access and clearance of the calculi more difficult to accomplish. Here, we report a case of inferior crossed renal ectopia, without fusion, and a ureteral stone in which the patient was treated successfully by extracorporeal shock wave lithotripsy.


2010 ◽  
Vol 93 (3) ◽  
pp. 162
Author(s):  
E J Vandervliet ◽  
F M Vanhoenacker ◽  
P M Parizel

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Kristin N. Fiorino ◽  
Brian Lestini ◽  
Kim E. Nichols ◽  
Sudha A. Anupindi ◽  
Asim Maqbool

A 10-year-old boy presented with a 3-day history of worsening abdominal pain, fever, emesis and melena. Abdominal ultrasound revealed a right upper quadrant mass that was confirmed by computed tomography angiogram (CTA), which showed an 8 cm well-defined retroperitoneal vascular mass.123Iodine metaiodobenzylguanidine (123MIBG) scan indicated uptake only in the abdominal mass. Subsequent biopsy revealed a paraganglioma that was treated with chemotherapy. This case represents an unusual presentation of a paraganglioma associated with gastrointestinal (GI) bleeding and highlights the utility of CTA and123MIBG in evaluation and treatment.


Author(s):  
Turyalai Hakimi ◽  
Mohammad Akbar Ibrahimi

1983 ◽  
Vol 129 (1) ◽  
pp. 128-129 ◽  
Author(s):  
Thomas J. Maatman ◽  
Gerard A. Deoreo ◽  
Robert Kay

2006 ◽  
Vol 120 (6) ◽  
pp. 497-501 ◽  
Author(s):  
D J McCrystal ◽  
C Bond

Cricotracheal separation (CTS) is an uncommon injury, with a high index of suspicion required to establish the diagnosis. Computerized tomography (CT) plays a role in diagnosis but cannot necessarily be relied upon. Bilateral recurrent laryngeal nerve (RLN) palsies are usually associated with this type of injury. We recently treated a patient with CTS in whom one RLN was intact from the time of the injury and the other nerve recovered within three months. Computed tomography was inconclusive.Early open repair of the injury and frequent follow-up examinations led to successful decannulation after six weeks and excellent short-term voice and airway outcomes.A detailed discussion of this unusual case is followed by a review of the current literature on CTS, with particular emphasis on significant management dilemmas and controversies.Clinical suspicion remains more sensitive than investigations in diagnosing CTS. Permanent bilateral RLN palsies are not inevitable following these injuries.


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