Percutaneous Nephrolithotomy in a Patient with Cross-Fused Renal Ectopia

Kamal, Wissam; Abuzenada, Mohammed; Almalki, Abdulaziz; Alharthi, Majed; Alhazmy, Ali

doi:10.1089/cren.2019.0073

Cited by 2 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Vascular anatomy in crossed fused ectopic kidneys exhibits considerable variations, and the crossed ectopic kidney commonly displays diminished functional capacity [ 5 ]. Notably, in approximately 25% of cases with CFRE, the arterial blood supply originates from the superior abdominal aorta, while in the remaining 75%, the arterial supply arises from either the inferior abdominal aorta or the iliac arteries [ 6 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…The precise occurrence rate of CRE remains uncertain due to a significant proportion of patients remaining asymptomatic. In autopsy studies, the estimated prevalence is approximately 1 in 2000 cases [ 4 , 5 ]. This condition demonstrates a higher prevalence in males, with a ratio of 3 to 2, and left-to-right crossover is more frequently observed with a ratio of 3 to 1 [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Discovery of an S-shaped Kidney in a Patient With Prostate Cancer: A Rare Finding

Tsiakaras,

Langas,

Rafailidis

et al. 2024

Cureus

View full text Add to dashboard Cite

Crossed fused renal ectopia (CFRE) constitutes a rare congenital anomaly of the urinary tract, typically characterized by its predominantly asymptomatic nature and frequent incidental discovery. This case report delineates the clinical profile of a 56-year-old male admitted to our Prostate Cancer Outpatient Clinic due to elevated prostate-specific antigen (PSA) levels, ultimately leading to the diagnosis of prostate cancer. The patient was asymptomatic, with no family or surgical background. Notably, a fused ectopic kidney was incidentally identified during the staging process involving abdominal computed tomography (ACT) scanning. Remarkably, no additional abnormalities of the urinary tract or renal dysfunction manifested in this specific case. The significance of this report lies in the underscored emphasis on the importance of employing precise imaging techniques and tailored management strategies for patients harboring such anatomical variations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Discovery of an S-shaped Kidney in a Patient With Prostate Cancer: A Rare Finding

Tsiakaras,

Langas,

Rafailidis

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…Although some doctors treat CFRE with stones by extracorporeal shock wave lithotripsy, the operative outcome is disappointing because of the high stone burden and technical challenges brought on by the underlying bone and overlying bowel gases 4,16 . In addition, others have treated CFRE with stones (especially high stone burden) by PCNL and achieved total stone clearance 8,17 . However, the high risk of bleeding and intestinal injury caused by the overlying bowel and abnormal vasculature may prevent it from being suitable for the current patient (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

“…4,16 In addition, others have treated CFRE with stones (especially high stone burden) by PCNL and achieved total stone clearance. 8,17 However, the high risk of bleeding and intestinal injury caused by the overlying bowel and abnormal vasculature may prevent it from being suitable for the current patient (Figure 1). Laparoscopic surgery has been currently reported as an effective treatment for CFRE with stones, but advanced laparoscopic techniques are required to safely handle abnormal anatomy.…”

Section: In 1957 Mcdonald Andmentioning

confidence: 99%

Case report: Crossed fused renal ectopia with stones: A surgical challenge overcome by robotic surgery

Chai

2023

Robotics Computer Surgery

View full text Add to dashboard Cite

BackgroundCrossed fused renal ectopia (CFRE) is an extremely rare congenital anomaly of the urinary tract that is prone to stone formation. The surgical treatment of CFRE with stones is challenging due to anatomical abnormalities.Materials and MethodsRight kidney stones were treated by flexible ureteroscopic lithotripsy (FURSL) and left kidney stones were treated by robotic surgery.ResultsThe authors present an unreported case of bilateral renal stones in a patient with CFRE, which was successfully treated by robotic pyelolithotomy combined with FURSL. The procedure was manoeuverable, and the stone‐free rate was satisfactory.ConclusionsCFRE with stones (S‐shaped kidney) present a surgical challenge due to anatomical abnormalities and a high stone burden. The authors recommend robotic pyelolithotomy with or without FURSL as a viable treatment option for stones with similar anatomical abnormalities.

show abstract

Percutaneous Nephrolithotomy in a Patient with Cross-Fused Renal Ectopia

Cited by 2 publications

References 3 publications

The Discovery of an S-shaped Kidney in a Patient With Prostate Cancer: A Rare Finding

The Discovery of an S-shaped Kidney in a Patient With Prostate Cancer: A Rare Finding

Case report: Crossed fused renal ectopia with stones: A surgical challenge overcome by robotic surgery

Contact Info

Product

Resources

About