Recurrent urinary tract infections led to the diagnosis of cross-renal ectopia: A case report.

Autor: Laarif S; Pediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia. Electronic address: souha.laariif@gmail.com., Abdallah RB; Pediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia., Daïb A; Pediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia., Saadi C; Pediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia., Hellal Y; Pediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia. Electronic address: Youssef.hellal@rns.tn., Kaabar N; Pediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia. Electronic address: nejib.kaabar@rns.tn.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2023 Sep; Vol. 110, pp. 108704. Date of Electronic Publication: 2023 Aug 20.
DOI: 10.1016/j.ijscr.2023.108704
Abstrakt: Introduction: Crossed renal ectopy (CRE) is a very rare congenital kidney anomaly. CRE is usually asymptomatic and is most often discovered incidentally, but the patient may sometimes develop various renal manifestations.
Case Presentation: We report a case of a girl who was symptomatic of several episodes of urinary tract infections and whose investigations including ultrasound, uroscan, renal scan and voiding cystourethrogram concluded that she had a crossed left renal ectopy without vesico-ureteral reflux. A regular Follow-up revealed no further symptoms or complications, with partial resolution of the hydronephrosis, and no recurrence of urinary tract infections after hygienic rules. This case didn't require surgical intervention.
Clinical Discussion: CRE is an infrequently occurring congenital malformation. Uroscan is an excellent tool to describe the full anatomical details of this pathology; and the information provided is crucial for surgeons, nephrologists, and radiologists to aid in the proper handling of this pathology.
Conclusions: CRE is a rare disease that can be diagnosed incidentally. Treatment is only indicated if complications occur or if there is other associated renal disease. Patients require continuous follow-up and need to be examined for potential complications.
Competing Interests: Declaration of competing interest Authors don't have any conflicts of interests in relation to the work described.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE