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Related Experiment Videos

Crossed renal ectopia

B J Birmole1, S S Borwankar, A S Vaidya

  • 1Dept of Paediatric Surgery, KEM Hospital, Parel, Bombay, Maharashtra.

Journal of Postgraduate Medicine
|July 1, 1993
PubMed
Summary
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A pediatric patient presented with an abdominal mass, revealing a non-functioning, crossed ectopic left kidney. Surgical removal was successful, preserving the right kidney

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Surgical Pathology

Background:

  • Congenital anomalies of the kidney and urinary tract (CAKUT) can present with diverse clinical manifestations.
  • Abdominal masses in children often require thorough diagnostic workup to determine the underlying etiology.
  • Ectopic kidney, a condition where the kidney is not in its usual anatomical location, is a rare congenital anomaly.

Observation:

  • A 2-year-old male child presented with a palpable mass on the right side of the abdomen.
  • Clinical diagnosis suggested a renal lump; further examination revealed no other abnormalities.
  • Intravenous pyelography indicated a non-functioning left kidney.

Findings:

  • Cystoscopy and ascending pyelography confirmed a left ectopic kidney with the ureter crossing to the contralateral side.

Related Experiment Videos

  • The ectopic kidney was surgically removed.
  • The surgical procedure did not cause any damage to the lower pole of the right kidney.

    • Implications:

    • This case highlights the importance of comprehensive diagnostic imaging in pediatric abdominal masses.
    • Successful surgical management of ectopic kidneys can prevent complications and preserve renal function.
    • Understanding ureteral anomalies associated with ectopic kidneys is crucial for surgical planning and patient outcomes.