Crossed renal ectopia without fusion associated with hydronephrosis in an infant

Felzenberg, Jeffrey D.; Nasrallah, Phillip F.

doi:10.1016/0090-4295(91)80236-z

Cited by 28 publications

(22 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1,5 Abnormalities involve the ectopic kidney and consist of UPJ obstruction (29%), vesicoureteral reflux (15%), megaureter, hypospadias, cryptorchidism, urethral valves, cystic dysplasia, or carcinoma. 2,5,7 This case represents a right-to-left crossed fused renal ectopia with a ureteropelvic junction obstruction of the orthotopic kidney, which is rarely reported in literature. 4,10 UPJ obstruction with other congenital anomalies of the upper urinary tract can be diagnostically and therapeutically challenging.…”

Section: Discussionmentioning

confidence: 85%

“…However, reflux may occur in the ectopic kidney in 20% cases. 5 The orthotopic kidney is usually normal. 1,5 Abnormalities involve the ectopic kidney and consist of UPJ obstruction (29%), vesicoureteral reflux (15%), megaureter, hypospadias, cryptorchidism, urethral valves, cystic dysplasia, or carcinoma.…”

Section: Discussionmentioning

confidence: 98%

“…Pressure from abnormally placed umbilical arteries, abnormal ureteral bud development, malalignment and abnormal rotation of the caudal end of the fetus, teratogenic factors, and genetic influences have all been implicated. 5 Fusion may occur at various stages in ascent and rotation, giving the varied morphology of fused kidneys. The final shape of fused kidneys depends on the time and extent of fusion and the degree of renal rotation.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic Heminephrectomy in L-Shaped Crossed Fused Ectopia

Kumar

Pandya²,

Singh³

et al. 2008

Journal of Endourology

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Heminephrectomy in L-Shaped Crossed Fused Ectopia

Kumar

Pandya²,

Singh³

et al. 2008

Journal of Endourology

View full text Add to dashboard Cite

show abstract

“…Crossed ''fused'' renal ectopia have been reported at an incidence of 1 in 7,500 autopsies [6]. The unfused presentation is much less common than crossed renal ectopia with fusion, estimated to be 1 in 75,000 [7]. There are four types of crossed renal ectopia: type A, crossed ectopia with fusion; type B, crossed ectopia without fusion; type C, solitary crossed ectopia; and type D, bilaterally crossed ectopia [8].…”

Section: Discussionmentioning

confidence: 99%

Ovulatory dysuria: a bizarre presentation of crossed non-fused ectopic kidney with extra renal pelvis

Gopaldas

Walden

2008

Int Urol Nephrol

View full text Add to dashboard Cite

Ectopic kidneys are a unique form of congenital anomaly that in most cases remain asymptomatic. However, depending on the location and the associated anatomical variations, they can mimic certain more common conditions, posing a challenge in differential diagnosis. They could cause secondary symptoms by virtue of their location or could falsely mimic a primary urologic problem when the etiology might be from a closely opposed adjacent structure. We present a unique case of ovulatory dysuria in a young female with a crossed non-fused ectopic kidney. The patient's symptoms were recurrent and correlated with the ovulatory phase of the menstrual cycle. Work-up revealed the right ovary to be in close proximity to the pelvis of the ectopic kidney. Salpingo-oophrectomy was followed by complete resolution of the patient's symptoms. The clinical manifestations, work-up, and management of symptomatic ectopic kidneys are briefly discussed in our article. Symptoms are usually attributed only by systematically excluding other causes. Surgical intervention is a last resort option only after thorough work-up with appropriate imaging studies.

show abstract

“…1 The unfused crossed renal ectopia is much rare with an incidence of 1/75000 in autopsies. 2 It consists of transposition of a kidney generally with left-to-right crossover. Ninety percent of ectopic kidneys are fused to their ipsilateral mate and the ureter of the ectopic kidney inserts into its normal position in the bladder at the contralateral side.…”

Section: Introductionmentioning

confidence: 99%