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[Crossed renal ectopy without fusion. Case report].

A S Salinas Sánchez, J Moreno Avilés, P Martínez Pertusa

    Archivos Espanoles De Urologia
    |November 1, 1989
    PubMed
    Summary

    This study details a rare case of crossed renal ectopia without fusion in a 30-year-old patient. This urinary tract anomaly is significantly less common than its fused counterpart.

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    Area of Science:

    • Urology
    • Embryology
    • Medical Case Reports

    Background:

    • Crossed renal ectopia is a rare congenital anomaly where one or both kidneys are located on the contralateral side of the abdomen.
    • This condition can be associated with other genitourinary and non-genitourinary malformations.
    • Crossed fused renal ectopia accounts for the vast majority (nearly 90%) of all crossed renal ectopia cases.

    Observation:

    • A 30-year-old patient presented with nonspecific abdominal pain and symptoms of micturition syndrome.
    • Diagnostic evaluation revealed an unusual presentation of crossed renal ectopia without fusion.
    • The patient's symptoms were attributed to an unstable detrusor and urethra.

    Findings:

    • The case highlights the extreme rarity of non-fused crossed renal ectopia, contrasting with the prevalence of fused forms.

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  • Embryogenic theories regarding the development of this specific malformation are explored.
  • Associated urinary system anomalies and malformations in other systems were discussed in the context of this case.
  • Implications:

    • Understanding the rarity and embryogenesis of non-fused crossed renal ectopia is crucial for accurate diagnosis.
    • Recognition of potential associated anomalies is vital for comprehensive patient management.
    • This case contributes to the limited literature on isolated crossed renal ectopia, aiding future clinical and research endeavors.