罕见病例:交叉融合性肾异位伴单侧输尿管:病例报告。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Medical Case Reports Pub Date : 2024-08-04 DOI:10.1186/s13256-024-04689-8
Prajwal Dahal, Kapil Dawadi, Ongden Yonjen Tamang, Sabina Parajuli, Natasha Dhakal
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引用次数: 0

摘要

背景:交叉融合性肾异位(CFRE)是一种常见的先天性畸形,即一个肾脏异常地位于中线的对侧,通常与另一个肾脏融合。然而,单输尿管引流的交叉融合性肾异位症却很少见:在此,我们报告了一例交叉融合性肾异位伴单输尿管的病例,患者是一名 46 岁的尼泊尔男性,因碎石尿史就诊。计算机断层扫描显示,左肾位于右侧并与右肾融合。两个肾脏的肾盂融合在一起,位于右侧的单输尿管将两个肾脏的尿液排入膀胱。建议患者定期复查:结论:单输尿管交叉融合性肾异位是一种罕见的肾脏畸形。无症状的患者通常可以采取保守治疗。建议定期随访,以监测肾功能、结石形成、感染和恶性病变。
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An uncommon encounter: crossed fused renal ectopia with singular ureter: a case report.

Background: Crossed fused renal ectopia (CFRE) is a common congenital anomaly where one kidney is positioned abnormally on the opposite side of the midline, often fused with the other kidney. However, single ureter draining crossed fused renal ectopia is a rare occurrence.

Case report: Here, we report a case of crossed fused renal ectopia with a single ureter in a 46-year-old Nepali male who presented with history of lithuria. Computed tomography revealed that the left kidney was situated on the right side and fused with the right kidney. The renal pelvises of both kidneys were fused, and a single ureter, located on the right side, was draining both kidneys into the bladder. The patient was advised to have regular follow-ups.

Conclusion: Crossed fused renal ectopia with a single ureter represents a rare renal anomaly. Asymptomatic patients can typically be managed conservatively. Regular follow-up is recommended to monitor renal function, calculus formation, infections, and malignant changes.

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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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