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Incidentally detected pancake kidney: a case report.

Sabyasachi Bakshi1,2

  • 1Department of General surgery, BSMCH, Bankura, West Bengal, PIN-722102, India. dr.bakshi.s@gmail.com.

Journal of Medical Case Reports
|August 15, 2020
PubMed
Summary

Pancake kidney, a rare congenital anomaly, was incidentally found in a 12-year-old girl. Conservative management with regular monitoring is recommended for this rare fusion anomaly.

Keywords:
Ectopic kidneysEmpty renal fossaPancake kidneyUnascended/low-lying fused kidneys

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Area of Science:

  • Pediatric Urology
  • Congenital Anomalies
  • Medical Imaging

Background:

  • Congenital anomalies of the urinary system are common, with pancake kidney being a rare structural anomaly.
  • Pancake kidney is characterized by the fusion of both kidneys along their medial surfaces, forming a single, round renal mass.
  • While often asymptomatic, pancake kidney may be associated with other organ malformations and an increased risk of malignancy.

Observation:

  • A 12-year-old girl presented with lower abdominal pain and dysuria, with urine analysis showing albumin and pus cells.
  • Imaging studies, including X-ray, ultrasonography, and CT scan, revealed a unique round-shaped mass in the pelvic cavity, identified as a pancake kidney.
  • The patient's symptoms were resolved with antibiotic treatment based on urine culture and sensitivity.

Findings:

  • Pancake kidney, a rare fusion anomaly, can be incidentally detected through medical imaging.
  • Conservative management, including regular renal function monitoring, is a viable approach for asymptomatic individuals.
  • Prompt treatment of urinary tract infections is crucial for managing symptoms associated with pancake kidney.

Implications:

  • Early detection and conservative management are key for patients with pancake kidney.
  • Surgeons must be vigilant for potential complications such as infections, obstruction, calculus formation, and malignant changes.
  • Minimizing trauma to the pelvic kidney and avoiding extensive surgeries are essential for maintaining a normal lifestyle.