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[Crossed renal ectopia: radiological possibilities of helicoidal CAT]
M A Sousa Escandón1, A González Rodríguez, R García Figueiras
1Servicio de Urología, Hospital Comarcal de Monforte, Lugo.
Insights
Helicoidal computed tomography (CT) aids in diagnosing crossed renal ectopy (CRE), a rare congenital condition. This study reviews 39 cases, highlighting diagnostic possibilities and associated anomalies.
Area of Science:
- Urology
- Radiology
- Embryology
Background:
- Crossed renal ectopy (CRE) is a rare congenital malformation with potential diagnostic challenges.
- Understanding its embryological origins is crucial for accurate diagnosis and management.
Observation:
- This study evaluated the diagnostic utility of helicoidal computed tomography (CT) in identifying CRE.
- Three new cases of left CRE are presented, alongside a review of 36 previously published cases in Spain.
- Patient ages ranged from 54 to 82 years, with one case of ureterocele and another of splenic angiosarcoma.
Findings:
- Helicoidal CT demonstrated significant diagnostic capabilities for detecting CRE.
- The review encompassed diverse clinical presentations and associated anomalies, including ureterocele and splenic angiosarcoma.
- Evaluation of various radiological systems used in diagnosing this infrequent malformation was performed.
Implications:
- Enhanced diagnostic accuracy for CRE through advanced imaging techniques like helicoidal CT.
- Improved understanding of the clinical spectrum and associated conditions of crossed renal ectopy.
- Potential for earlier detection and better management strategies for patients with this congenital anomaly.
Objectives:
To evaluate the diagnostical possibilities of helicoidal CAT in crossed renal ectopy (CRE) and review 36 cases published in Spain, including our 3 new patients.
Clinical Cases:
We present two women and a man aged between 54 and 82 who were diagnosed of left CRE. One of them showed an ureterocele and other one presented a splenic angiosarcoma.
Discussion:
Main embriological theories, clinical presentation, associated anomalies and different radiological systems used in the diagnosis of this infrequent congenital malformation are evaluated.
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