Cross ectopic multicystic dysplastic kidney with ureterocele in nonectopic site

Adnan Narcı; Mevlit Korkmaz; Muhittin Karakus; Tolga Altug Sen; Îlhamı Surer; Salih Cetinkursun

doi:10.5489/cuaj.858

Cross ectopic multicystic dysplastic kidney with ureterocele in nonectopic site

Canadian Urological Association Journal ◽

10.5489/cuaj.858 ◽

2013 ◽

Vol 4 (3) ◽

pp. 61 ◽

Cited By ~ 1

Author(s):

Adnan Narcı ◽

Mevlit Korkmaz ◽

Muhittin Karakus ◽

Tolga Altug Sen ◽

Îlhamı Surer ◽

...

Keyword(s):

Surgical Intervention ◽

Horseshoe Kidney ◽

Multicystic Dysplastic Kidney ◽

Ectopic Ureter ◽

Normal Kidney ◽

First Case ◽

Dysplastic Kidney

Crossed renal ectopy (CRE) is the second most common fusionanomaly of the kidney, with an incidence of 1 in 7000 autopsies;it comes in second after horseshoe kidney. Crossed renal ectopy isassociated with an ectopic ureter and generally an ectopic kidneyfused with a normal kidney. A 7-month-old boy who had left-torightcrossed non-fused renal ectopy and multicystic renal dysplasiawith ureterocele in nonectopic kidney was reported in Englishlanguage literature. In this article, we present the first case of CREwhere surgical intervention has been performed.

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Laparoscopic transposition for crossing vessels (vascular hitch) in pure extrinsic pelvic-ureteric junction obstruction: a successful case report of a 2-year-old infant with horseshoe kidney

Surgical Case Reports ◽

10.1186/s40792-021-01190-y ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Satoshi Ieiri ◽

Kouji Nagata

Keyword(s):

Laparoscopic Surgery ◽

Left Kidney ◽

Horseshoe Kidney ◽

Renal Scintigraphy ◽

Multicystic Dysplastic Kidney ◽

Extrinsic Compression ◽

Dysplastic Kidney ◽

Renal Vessels ◽

The Right ◽

Crossing Vessels

Abstract Background Pediatric hydronephrosis induced by pelvic-ureteric junction obstruction (PUJO) is treated by dismembered pyeloplasty (DP) via open and laparoscopic surgery. The etiology of PUJO involves both intrinsic stenosis and extrinsic compression of crossing vessels (CVs). PUJO owing to CVs is also treated by DP, as there is no consensus concerning this vascular condition. We encountered a 2-year-old infant with pure extrinsic PUJO combined with horseshoe kidney who successfully underwent laparoscopic transposition for CVs (vascular hitch). Case presentation A 2-year-old boy was prenatally diagnosed with left multicystic dysplastic kidney (MDCK) and right hydronephrosis and received a definitive diagnosis after birth. At 6 months old, renal scintigraphy revealed a non-functioning pattern in the left kidney and an obstructive pattern in the right, showing no response to furosemide loading. The patient also had recurrent urinary tract infection, and his right hydronephrosis gradually worsened. We decided to perform surgery for the right PUJO. Preoperative enhanced computed tomography detected three right renal vessels independently branching from the abdominal aorta. The middle renal vessels were located at the ventral side of the pelvis and coincident with the site of PUJO. These vessels were suspected of being CVs. The patient underwent laparoscopic surgery electively. A 5-mm trocar was inserted at the umbilicus for a 5-mm, 30° rigid scope. Two additional ports were then inserted under laparoscope inspection. The dilated right pelvis and CVs were detected after ascending colon mobilization. To confirm the pathogenesis of PUJO, the CVs were dissected and taped. After taping the CVs, an intraoperative diuretic test was performed using furosemide loading. Peristalsis of the right ureter was recognized, and the extrinsic PUJO owing to the CVs was definitively confirmed. We therefore performed transposition for the CVs (vascular hitch procedure). The CVs were mobilized in the cranial direction and those were wrapped by dilated pelvis. The post-operative course was uneventful. The renal scintigraphy findings improved and showed a favorable response of furosemide loading. Conclusions The laparoscopic vascular hitch procedure is minimally invasive and effective for extrinsic PUJO due to CVs. Anastomotic stricture after Anderson and Hynes DP can be prevented by appropriate patient selection.

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Pediatric Genitourinary Radiology

Ultrasound Guided Procedures and Radiologic Imaging for Pediatric Anesthesiologists ◽

10.1093/med/9780190081416.003.0013 ◽

2021 ◽

pp. 139-154

Author(s):

Mohammed Mohsin Khadir

Keyword(s):

Wilms Tumor ◽

Bladder Exstrophy ◽

Horseshoe Kidney ◽

Posterior Urethral Valves ◽

Multicystic Dysplastic Kidney ◽

Sacrococcygeal Teratoma ◽

Prune Belly Syndrome ◽

Dysplastic Kidney ◽

Radiologic Imaging ◽

Duplicated Collecting System

Chapter 13 examines radiologic images for common and uncommon pediatric genitourinary disorders. These include pediatric congenital disorders such as renal agenesis, autosomal recessive polycystic kidney disease, multicystic dysplastic kidney, horseshoe kidney/cross-fused ectopia, prune belly syndrome, congenital uteropelvic junction obstruction, vesicoureteral reflux, duplicated collecting system, ureterocele, urachal anomalies, bladder exstrophy, and posterior urethral valves. The chapter goes on to look at neuroblastoma and Wilms tumor. Reproductive disorders are also examined, such as ovarian torsion, testicular torsion, epididymo-orchitis, hydrocele, varicocele, testicular tumors, and sacrococcygeal teratoma. This chapter covers the clinical features and anatomy associated with these disorders as well as their diagnosis based on radiologic imaging.

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Minor dysmorphic features in a patient with papillorenal syndrome – A Case Report

Journal of the Pakistan Medical Association ◽

10.47391/jpma.1158 ◽

2020 ◽

pp. 1-7

Author(s):

Ferit Kulali ◽

Ahmet Yagmur Bas ◽

Fatma Iyigun Guzel ◽

Husniye Yucel ◽

Caner Kara ◽

...

Keyword(s):

Critical Role ◽

Multicystic Dysplastic Kidney ◽

Renal Abnormality ◽

Related Disorder ◽

Dysmorphic Features ◽

First Case ◽

Dysplastic Kidney ◽

Renal Coloboma Syndrome ◽

Papillorenal Syndrome ◽

Pax2 Gene

Abstract Papillorenal syndrome, also known as renal coloboma syndrome, is characterised by congenital optic disc anomalies and renal abnormality. The syndrome causes mutations in the PAX2 gene, which plays a critical role in embryogenesis. Other related anomalies are less commonly observed. To our knowledge, ours is the first case reported in the literature in which Papillorenal syndrome accompanied various dysmorphic features. Keywords: Renal coloboma syndrome; PAX2-related disorder; coloboma of optic nerve, multicystic dysplastic kidney; eye abnormalities Continuous...

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First reported case of penile prosthesis infection from brucellosis: case report

African Journal of Urology ◽

10.1186/s12301-020-00090-1 ◽

2020 ◽

Vol 26 (1) ◽

Author(s):

Nabil Nabil Moohialdin ◽

Ahmad Shamsodini ◽

Steven K. Wilson ◽

Osama Abdeljaleel ◽

Ibrahim Alnadhari ◽

...

Keyword(s):

Case Report ◽

Broad Spectrum ◽

Surgical Intervention ◽

Penile Prosthesis ◽

Raw Milk ◽

Prosthesis Infection ◽

Case Presentation ◽

First Case ◽

Milk Ingestion

Abstract Background Infection after the penile prosthesis can be devastating to both the patient and surgeon with various complications and consequences. After introduction of antibiotic-coated implants, the rate of infection has dramatically decreased, but still we see uncommon organisms causing infection. We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. To our knowledge, this is the first reported case of brucellosis penile prosthesis infection. Case presentation We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. A 75-year-old, diabetic male patient presented with penile prosthesis infection 5 months post-penile exchange surgery due to mechanical malfunctioning of 2-piece penile prosthesis which was inserted 11 years ago. The initial treatment with broad spectrum antibiotics did not subside the infection. After diagnosis of brucellosis, the antibiotic was changed to anti-brucellosis (Rifampicin + Tetracycline). The patient improved dramatically and was discharged home with smooth follow-up course. Conclusion Brucellosis can cause infection of penile prosthesis and can be treated with anti-brucellosis antibiotics without necessitating surgical intervention and removal of prosthesis.

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