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Bilateral Renal Ectopia-Prenatal Diagnosis.

Nicolae Gică1,2, Livia Mihaela Apostol2, Iulia Huluță1,2

  • 1Gynecology Department, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.

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Congenital anomalies of the kidney and urinary tract (CAKUT) vary widely. This case highlights bilateral renal ectopia, emphasizing the need for prenatal screening to detect these often asymptomatic conditions.

Keywords:
duplex kidneyrenal anomaliesrenal ectopia

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Area of Science:

  • Pediatric Nephrology
  • Urology
  • Medical Genetics

Background:

  • Congenital anomalies of the kidney and urinary tract (CAKUT) represent a spectrum of conditions, from mild to severe.
  • Genitourinary anomalies are common, comprising 15-20% of prenatal anomaly findings.
  • Renal ectopia involves kidney displacement, most commonly to the pelvic region.

Purpose of the Study:

  • To report a case of bilateral renal ectopia with a unilateral duplex kidney.
  • To illustrate the varied presentations of CAKUT.
  • To emphasize the significance of prenatal screening for renal anomalies.

Main Methods:

  • Case report detailing a patient with suspected renal anomaly in the first trimester.
  • Second-trimester definitive diagnosis of bilateral renal ectopia and unilateral duplex kidney.
  • Regular prenatal monitoring every four weeks.

Main Results:

  • A healthy baby was delivered at term.
  • The case demonstrates a rare presentation of bilateral renal ectopia.
  • A significant proportion of renal anomalies remain asymptomatic.

Conclusions:

  • Congenital renal anomalies are frequent and diverse.
  • Vigilant prenatal screening is crucial for early detection and management of CAKUT.
  • Early diagnosis allows for appropriate monitoring and management, leading to favorable outcomes.