Aberrant Renal Vessel Causing Hydronephrosis in Crossed-Fused Ipsilateral Ectopic Kidney: A Rare Case Report

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• 作者：Zaheer Hasan (1)
  Bindey Kumar (1)
  Ashokanand Thakur (1)
  Prem Kumar (2)
  Sanjeev Kumar (1)
  
• 关键词：Crossed fused renal ectopia ; Aberrant vessel ; Hydronephrosis
• 刊名：Indian Journal of Surgery
• 出版年：2013
• 出版时间：June 2013
• 年：2013
• 卷：75
• 期：1-supp
• 页码：201-203
• 全文大小：272KB
• 参考文献：1. Ritchey M, Susan J (2007) Anomalies of the kidney. In: Kelalis PP, King LR, Belman AB (eds) Clinical pediatric urology, 3rd edn. WB Saunders, Philadelphia, p 305
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  4. Malek RS, Kelalis PP, Burke EC (1971) Ectopic kidney in children and frequency of association with other malformations. Mayo Clin Proc 46:461鈥?67
  5. Guarino N, Tadini B, Camardi P et al (2004) The incidence of associated urological abnormalities in children with renal ectopia. J Urol 172(4):1757鈥?759 CrossRef
  6. Graves FT (1956) Aberrant renal artery. J Anat 90(4):553鈥?58
  7. Gleason PE, Kelalis PP, Husmann DA, Kramer SA (1994) Hydronephrosis in renal ectopia: incidence, etiology and significance. J Urol 151(6):1660鈥?661
  8. Mustafa M, Alkan E (2005) Aberrant vessels in ipsilateral malrotated kidney associated with contralateral cross ectopia without fusion. Int Urol Nephrol 37:39鈥?1 CrossRef
  
• 作者单位：Zaheer Hasan (1)
  Bindey Kumar (1)
  Ashokanand Thakur (1)
  Prem Kumar (2)
  Sanjeev Kumar (1)
  
  1. Pediatric Surgery, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
  2. Radiodiology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
  

文摘

A crossed-fused ectopic kidney is a rare congenital anomaly, and uncommonly we see an aberrant vessel as a cause of hydronephrosis in a kidney. We report a case of 4-year-old boy with crossed-fused right renal ectopia with hydronephrosis in the both kidneys. The aberrant renal vessel was found pressing the left pelvi-ureteric junction causing hydronephrosis. Dismembered pyeloplasty of the left kidney was performed anterior to the aberrant vessel. The patient is doing well in the follow-up visits and his renal function is stabilized. Aberrant blood supply may be a cause of hydronephrosis in the crossed-fused ectopic ipsilateral kidney. Keeping this entity in differential diagnosis will help in successful management of the crossed-fused ectopic kidney.