Abstract:SUMMARY
A case of giant hydronephrosis in crossed unfused renal ectopia is presented. It is the third such case to be reported. The presenting complaint was a huge lower abdominal swelling. It was associated with spina bifida occulta. Nephro‐ureterectomy was successfully carried out.
“…The crossed kidney may also have renal or ureteric calculi [10]. As with other CREs, non-fused ectopia can also lead to complications such as hydronephrosis, renal volvulus, or recurrent UTIs [13,14]-the last one was the presenting pathology in our patient.…”
Crossed and non-fused kidneys are an exceedingly rare congenital anomaly in which one or both kidneys cross the midline to the opposite side. At the same time, the ureters are inserted in their normal anatomical locations in the bladder. Although crossed ectopic kidneys are mostly asymptomatic and incidentally discovered during workup for other disorders, they are prone to urological complications such as urinary tract infections (UTIs). Here we present the case of a 12-year-old male with a history of recurrent UTIs and urinary retention who presented to the emergency department with recurrent UTIs and urinary retention and was eventually found to have an ectopic unfused left kidney in the right lumbar region on computed tomography (CT).
“…The crossed kidney may also have renal or ureteric calculi [10]. As with other CREs, non-fused ectopia can also lead to complications such as hydronephrosis, renal volvulus, or recurrent UTIs [13,14]-the last one was the presenting pathology in our patient.…”
Crossed and non-fused kidneys are an exceedingly rare congenital anomaly in which one or both kidneys cross the midline to the opposite side. At the same time, the ureters are inserted in their normal anatomical locations in the bladder. Although crossed ectopic kidneys are mostly asymptomatic and incidentally discovered during workup for other disorders, they are prone to urological complications such as urinary tract infections (UTIs). Here we present the case of a 12-year-old male with a history of recurrent UTIs and urinary retention who presented to the emergency department with recurrent UTIs and urinary retention and was eventually found to have an ectopic unfused left kidney in the right lumbar region on computed tomography (CT).
A case of giant hydronephrosis occurring in a solitary crossed ectopic kidney is presented. This is the seventeenth instance of this renal anomaly, and the first reported in association with a giant hydronephrosis. The diagnosis is discussed, and attention is drawn to the high incidence of genital defects and pathological change associated with solitary ectopic kidneys.
A case of crossed renal ectopia complicated by hydronephrosis, calculus, pyelonephritis, and tumour is described. The aetiology of the complications is discussed and the incidence of tumours in non-fused, crossed renal ectopia is described.
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