[Malrotated kidney causing prenatal giant hydronephrosis].

Autor: Massicot RE; Laboratoire d'anatomie médico-chirurgicale appliquée, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe. Electronic address: richardmassicot@hotmail.com., Ferracci S; Service des urgences adultes, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe., Uzel AP; Laboratoire d'anatomie médico-chirurgicale appliquée, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe; Service d'orthopédie et traumatologie, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe.
Jazyk: francouzština
Zdroj: Morphologie : bulletin de l'Association des anatomistes [Morphologie] 2018 Jun; Vol. 102 (337), pp. 91-96. Date of Electronic Publication: 2017 Sep 12.
DOI: 10.1016/j.morpho.2017.08.002
Abstrakt: We report the case of a malrotated right kidney associated with giant prenatal hydronephrosis due to a non vascular extrinsic ureteropelvic compression. The kidney presented an hyper-rotation of 180° in relation to the original fetal position, with the renal hilum backward looking. At neonatal surgery we discover that the inferior pole of the kidney pushes laterally the ureteropelvic junction like a violin bridge. The simple uncrossing of the ureteropelvic junction from the inferior renal pole relieves the extrinsic ureteral obstacle and the giant hydronephrosis. The authors summarize the morphogenesis of the upper urinary tract which allowed to understand this rare anatomical variation.
(Copyright © 2017 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: