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[Unilateral renal agenesis associated with pelvic renal ectopy]
J A González Mediero1, J García, A Tinajas Saldaña
1Servicio de Urología del Hospital Universitario de Salamanca, España.
Archivos Espanoles De Urologia
|May 15, 1998
Summary
This case report details a rare congenital anomaly: right renal agenesis and left pelvic kidney. This condition, typically asymptomatic, was incidentally discovered in a 76-year-old male during imaging for prostate issues.
Area of Science:
- Urology
- Radiology
- Medical Case Reports
Background:
- Congenital anomalies of the kidney and urinary tract (CAKUT) are common.
- Renal agenesis, the congenital absence of a kidney, can occur unilaterally or bilaterally.
- Pelvic ectopy refers to a kidney located in the pelvic cavity instead of its usual retroperitoneal position.
Observation:
- A 76-year-old male presented with symptoms of irritative prostatic syndrome.
- Initial evaluation involved intravenous pyelography (IVP) and computed tomography (CT).
Findings:
- IVP and CT confirmed right renal agenesis (absence of the right kidney).
- The left kidney was found in a pelvic ectopic position.
- This combination of anomalies is exceedingly rare, with fewer than 10 cases reported globally.
Implications:
- While often asymptomatic and diagnosed in infancy due to complications, this case highlights incidental detection in adulthood.
- Understanding such rare congenital anomalies is crucial for accurate diagnosis and management in diverse patient populations.
- This case underscores the importance of thorough radiological assessment, even in elderly patients presenting with common urological symptoms.