Ectopic kidney with malrotation and bilateral multiple arteries diagnosed using CT angiography

Delia Elena Zăhoi1, G Miclăuş, Aurora Alexa

  • 1Department of Anatomy and Embryology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. dzahoi@umft.ro

Insights

A rare case of right renal ectopia with malrotation and bilateral triple renal arteries was discovered incidentally. This finding highlights the importance of recognizing congenital renal variations during imaging for surgical planning.

Area of Science:

  • Anatomical variations in human urogenital system
  • Medical imaging and diagnostics

Background:

  • Congenital renal ectopia, a displacement of the kidney from its normal position, is a rare condition.
  • Variations in renal vasculature, including accessory renal arteries, are also uncommon congenital anomalies.

Observation:

  • A 64-year-old male patient presented with incidentally discovered right renal ectopia and malrotation.
  • CT angiography revealed bilateral triple renal arteries, with one main and two accessory arteries originating from the abdominal aorta.
  • The renal arteries were symmetrically disposed and of equal caliber.

Findings:

  • The case demonstrates a rare combination of renal ectopia, malrotation, and complex bilateral renal vascular variations.
  • The incidence of simple renal ectopia is low, with many cases diagnosed incidentally.

Implications:

  • Accurate identification of renal position and vascular variants is crucial for surgical interventions and managing potential complications.
  • CT angiography is a valuable tool for diagnosing such anatomical variations, aiding in clinical decision-making.

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