Апстракт
Background: Crossed fused renal ectopia is a relatively rare condition which may remain undiagnosed for a long time. Renal function is usually preserved. It usually involves the left kidney. It is usually associated with mal-rotation, and may be a cause of urinary tract infection, hydronephrosis and renal calculi.
Material and method: We report a case of a 15-year old boy who was referred to our clinic with complaints of abdominal pain, and an ultrasound report of “absent right kidney”.
Results: Urine examination indicated a partially treated infection, but the tests of kidney functions were normal. Intravenous urography confirmed crossed fused renal ectopia, and a flush aortogram showed two anomalous right renal arteries arising from the left side of aorta.
Conclusion: An “absent” kidney in its normal location should prompt further investigations. Recurrent chronic lower abdominal pain and urinary tract infection in a young person may be due to congenital renal abnormality. Evaluation of persistent urinary abnormalities in a child should include screening for congenital abnormalities.
Keywords: Crossed fused renal ectopia. abdominal pain. recurrent urinary tract infection
Résumé
Contexte: L’ectopie rénale croisée et fusionnée (la mauvaise fonction rénale) est une maladie relativement rare qui peut rester non diagnostiquée pendant une longue période. La fonction rénale est généralement préservée. Elle implique généralement le rein gauche. Elle est souvent associée à une mauvaise rotation, et peut être une cause d’infection des voies urinaires, hydronéphrose et des grains formulés dans le système rénal.
Méthode: Nous avons fait usage du cas d’un garçon de 15 ans qui nous a été transféré pour plaintes de douleurs abdominales, suivi du rapport d’échographie faisant cas “d’absence de rein droit”.
Résultats: L’examen d’urine a indiqué une infection partiellement traitées, mais les tests de la fonction rénale étaient normaux. L’urographie intraveineuse a confirmé l’ectopie rénale fusionnée et croisée, et une aortographie a montré deux artères rénales droites anormales découlant de la partie gauche de l’aorte.
Conclusion: Un rein “absent” à son emplacement normal devrait inciter aux investigations. Les récurrentes douleurs abdominales chroniques et les infections des voies urinaires chez les jeunes peuvent être dues à une anomalie congénitale rénale. L’évaluation des anomalies urinaires persistantes chez un enfant devrait inclure le dépistage des anomalies congénitales
Correspondence: Dr. Samuel Ajayi, Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: soajayi@hotmail.com.
Референце
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