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Crossed renal ectopia with fusion

F Scalercio1, D Aprigliano, F Guido

  • 1Department of Pediatrics, La Sapienza University of Rome.

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Summary
This summary is machine-generated.

A rare case of crossed renal ectopia with fusion in a three-year-old girl presented with only microhematuria and urinary tract infections. Diagnosis was confirmed using biochemical and radiographic methods.

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Area of Science:

  • Pediatric Urology
  • Medical Imaging
  • Clinical Case Reports

Background:

  • Crossed renal ectopia with fusion is a rare congenital anomaly where both kidneys are located on the same side of the spine, fused together.
  • This condition can be asymptomatic or present with a variety of urinary tract issues.
  • Early diagnosis and management are crucial for preventing complications.

Observation:

  • A three-year-old female presented with recurrent urinary tract infections and microscopic hematuria.
  • Physical examination revealed no significant abnormalities.
  • The patient's medical history was unremarkable apart from the presenting symptoms.

Findings:

  • Radiographic investigations, including ultrasound and CT scan, revealed right to left crossed renal ectopia with fusion.
  • Biochemical tests showed normal renal function.
  • Urinalysis confirmed microscopic hematuria and signs of infection.

Implications:

  • This case highlights the importance of considering rare congenital anomalies in the differential diagnosis of recurrent urinary tract infections and microhematuria in children.
  • Accurate diagnosis through combined biochemical and radiographic assessment is essential for appropriate management.
  • Understanding such anomalies aids in predicting potential long-term complications and guiding patient care.