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Crossed Renal Ectopia without Fusion: An Uncommon Cause of Abdominal Mass
Ana Ratola1, Maria Miguel Almiro1, Rita Lacerda Vidal1
1Pediatrics Department, Baixo Vouga Hospital Center, Avenida Artur Ravara, 3814-501 Aveiro, Portugal.
Abstract:
Crossed renal ectopia is a rare congenital anomaly usually associated with fused kidneys (90%). Most cases are asymptomatic and remain undiagnosed. We report an unusual case of nonfused crossed renal ectopia. The 11-year-old adolescent female patient was admitted with abdominal pain, anorexia, weight loss, and periumbilical mass. Although the initial clinical suspicion was a tumoral lesion, abdominal ultrasound and magnetic resonance examination revealed crossed renal ectopia without fusion. The renal ectopy was incidentally diagnosed, as described in 20 to 30% of cases. In this case, the associated nonspecific symptoms were a coincidence.
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