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Moradi B, Golezar MH, Mortazavi Ardestani R, Hassanzadeh S, Jannatdoust P, Banihashemian M, Batavani N. Ultrasound and magnetic resonance imaging features of fetal urogenital anomalies: A pictorial essay. Congenit Anom (Kyoto) 2024; 64:70-90. [PMID: 38586935 DOI: 10.1111/cga.12568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2024] [Revised: 02/27/2024] [Accepted: 03/21/2024] [Indexed: 04/09/2024]
Abstract
This pictorial essay focuses on ultrasound (US) and magnetic resonance imaging (MRI) features of fetal urogenital anomalies. Fetal urogenital malformations account for 30%-50% of all anomalies discovered during pregnancy or at birth. They are usually detected by fetal ultrasound exams. However, when ultrasound data on their characteristics is insufficient, MRI is the best option for detecting other associated anomalies. The prognosis highly depends on their type and whether they are associated with other fetal abnormalities.
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Affiliation(s)
- Behnaz Moradi
- Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran
- Department of Radiology, Yas Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Hossein Golezar
- Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran
- Student Research Committee, Faculty of Medicine, Shahed University, Tehran, Iran
| | | | - Sara Hassanzadeh
- Department of Radiology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA
| | - Payam Jannatdoust
- Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Masoumeh Banihashemian
- Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Nasim Batavani
- Department of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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Touati MD, Khefacha F, Ben Othmane MR, Belhadj A, Saidani A, Chebbi F. Fortuitous detection of adult malrotated ectopic kidney during acute appendicitis: A unique case report. Int J Surg Case Rep 2024; 118:109679. [PMID: 38663289 PMCID: PMC11064631 DOI: 10.1016/j.ijscr.2024.109679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Revised: 04/15/2024] [Accepted: 04/19/2024] [Indexed: 05/05/2024] Open
Abstract
INTRODUCTION AND IMPORTANCE Renal ectopia, a rare congenital anomaly, can occur in various body regions and may be associated with other abnormalities. It is often asymptomatic, commonly found incidentally, as in our 70-year-old patient during appendicitis exploration. This case highlights the importance of recognizing renal ectopia and associated anomalies, such as vascular abnormalities and renal malrotation, which may predispose patients to potential complications and require vigilant monitoring for urinary tract infections and lithiasis events, as well as potential challenges during laparoscopic surgical procedures, as in our appendectomy case. CASE PRESENTATION A 70-year-old female presented with right iliac fossa pain and elevated inflammatory markers. Abdominopelvic CT scan confirmed uncomplicated appendicitis and revealed a right ectopic and malrotated kidney. Laparoscopic appendectomy was performed without complications. Postoperative recovery was uneventful, and discharge occurred one day post-procedure. A four-week follow-up was scheduled to monitor for urinary infection and stone formation, with initiation of hygienic and dietary measures. CLINICAL DISCUSSION Renal ectopia, a congenital anomaly, frequently positions the kidneys in the pelvic region. Iliac ectopias are often confused with pelvic or abdominal ectopias. Ectopic kidneys can result in complications like vesicoureteral reflux, urinary tract infections, or kidney stones. Despite being typically left-sided, our patient presented with right-sided renal ectopia with malrotation. Despite lacking urinary symptoms, a urological consultation was advised due to the potential risk of infection or kidney stones. Surgical intervention is reserved for complication management. CONCLUSION Renal ectopia, a rare congenital anomaly, can be asymptomatic but often coincides with other renal or vascular issues. Early detection and accurate imaging are essential, emphasizing clinical vigilance and interdisciplinary collaboration for better patient care.
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Affiliation(s)
- Med Dheker Touati
- General Surgery Department, Mahmoud El Matri Hospital, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia.
| | - Fahd Khefacha
- General Surgery Department, Mahmoud El Matri Hospital, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia
| | - Mohamed Raouf Ben Othmane
- General Surgery Department, Mahmoud El Matri Hospital, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia
| | - Anis Belhadj
- General Surgery Department, Mahmoud El Matri Hospital, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia
| | - Ahmed Saidani
- General Surgery Department, Mahmoud El Matri Hospital, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia
| | - Faouzi Chebbi
- General Surgery Department, Mahmoud El Matri Hospital, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, R534+F9H, Rue de la Faculté de Médecine, Tunis, Tunisia
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Mehra K, Bagriya MK, Modi PR, Rizvi SJ. Laparoscopic Approach for Reconstructive and Ablative Procedures in Ectopic Pelvic Kidneys: A Challenge in 8 Cases. J Laparoendosc Adv Surg Tech A 2023; 33:866-871. [PMID: 37417968 DOI: 10.1089/lap.2023.0146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/08/2023] Open
Abstract
Introduction and Objective: Laparoscopy is the most widely followed approach in ablative or reconstructive kidney surgeries. The aim of this study is to assess the utility and safety of laparoscopic approach in pelvic ectopic kidney surgeries. Methods: Between July 1, 2021 and June 30, 2022, 8 patients with pelvic kidneys; 4 with pelviureteric junction obstruction, 3 with pelvic stones, and 1 nonfunctioning kidney underwent laparoscopic pyeloplasty, pyelolithotomy, and nephrectomy, respectively. The records of all 8 patients were evaluated retrospectively for analyzing the operating time, blood loss, postoperative hospital stay, intra- and postoperative complications, surgical difficulty, and the success in completing the case laparoscopically. The patients were followed for at least 6 months to know the outcome. After pyeloplasty the improvement in function and drainage as well were recorded. Results: Of 8 cases, 6 (75%) were completed laparoscopically. One pyelolithotomy and 1 pyeloplasty patient were converted to open surgery. The median operative time was 180 (140-240) minutes, median blood loss was 100 (50-300) mL, and median hospital stay was 4 (3-6) days. One patient, who had open conversion, had Clavien grade I complication in the form of prolonged fever. Pyeloplasty patients at 6 months follow-up showed improvement in symptoms as well as function. Conclusion: The laparoscopic approach has obvious benefits in pelvic surgeries. Laparoscopy for ectopic pelvic kidneys are challenging due to abnormal anatomy of vessels and kidneys. Proper exposure of kidneys and exact identification of vessels can accomplish laparoscopic procedure in ectopic kidneys successfully with patients having nil complications and early convalescence.
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Affiliation(s)
- Ketan Mehra
- Department of Urology, Institute of Kidney Disease and Research Centre (IKDRC), Ahmedabad, India
| | - Mahesh Kumar Bagriya
- Department of Urology, Institute of Kidney Disease and Research Centre (IKDRC), Ahmedabad, India
| | - Pranjal Ramanlal Modi
- Department of Urology, Institute of Kidney Disease and Research Centre (IKDRC), Ahmedabad, India
| | - Syed Jamal Rizvi
- Department of Urology, Institute of Kidney Disease and Research Centre (IKDRC), Ahmedabad, India
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Huang HH, Yang PJ. Man With Fever and Pyuria. Ann Emerg Med 2022; 80:e67-e68. [PMID: 36153059 DOI: 10.1016/j.annemergmed.2022.05.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 05/31/2022] [Indexed: 11/17/2022]
Affiliation(s)
- Han-Hsiang Huang
- Department of Emergency Medicine, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan
| | - Po-Jen Yang
- Department of Emergency Medicine, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan
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Reimold P, Aksoy C, Tosev G, Hatiboglu G, Hohenfellner M. Hydronephrotic pelvic kidney mimicking urinary retention in an 18-year-old male. Urol Case Rep 2022; 45:102241. [PMID: 36238445 PMCID: PMC9551077 DOI: 10.1016/j.eucr.2022.102241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 09/18/2022] [Accepted: 09/23/2022] [Indexed: 11/17/2022] Open
Affiliation(s)
- Philipp Reimold
- Corresponding author. Im Neuenheimer Feld 420, 69120, Heidelberg, Germany.
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Houat AP, Guimarães CTS, Takahashi MS, Rodi GP, Gasparetto TPD, Blasbalg R, Velloni FG. Congenital Anomalies of the Upper Urinary Tract: A Comprehensive Review. Radiographics 2021; 41:462-486. [PMID: 33513074 DOI: 10.1148/rg.2021200078] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The upper urinary tract is the most common human system affected by congenital anomalies. Congenital anomalies of the kidneys and ureters comprise a wide spectrum of disorders ranging from simple variants with no clinical significance to complex anomalies that may lead to severe complications and end-stage renal disease. They may be classified as anomalies of renal form, which are subclassified as structural anomalies (eg, persistent fetal lobulation, hypertrophied column of Bertin, and dromedary hump) and fusion anomalies (eg, horseshoe kidney and pancake kidney); anomalies of renal position (eg, renal malrotation, simple renal ectopia, and crossed renal ectopia) and renal number (eg, renal agenesis and supernumerary kidney); and abnormalities in development of the urinary collecting system (eg, pyelocaliceal diverticulum, megacalycosis, ureteropelvic junction obstruction, duplex collecting system, megaureter, ectopic ureter, and ureterocele). US is usually the first imaging modality used because of its low cost, wide availability, and absence of ionizing radiation. Intravenous urography and voiding cystourethrography are also useful, mainly for characterization of the collecting system and vesicoureteral reflux. However, intravenous urography has been replaced by CT urography and MR urography. These imaging methods not only allow direct visualization of the collecting system but also demonstrate the function of the kidneys, the vascular anatomy, adjacent structures, and complications. Comprehension of congenital anomalies of the upper urinary tract is crucial for an accurate diagnosis and correct management. The authors discuss the spectrum of these anomalies, with emphasis on embryologic development, imaging findings, clinical manifestations, and complications. Online supplemental material is available for this article. ©RSNA, 2021.
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Affiliation(s)
- Abdallah P Houat
- From the Department of Radiology, Diagnósticos da América SA (DASA), Av Juruá 434, Alphaville Industrial, Barueri, SP 06455-010, Brazil
| | - Cassia T S Guimarães
- From the Department of Radiology, Diagnósticos da América SA (DASA), Av Juruá 434, Alphaville Industrial, Barueri, SP 06455-010, Brazil
| | - Marcelo S Takahashi
- From the Department of Radiology, Diagnósticos da América SA (DASA), Av Juruá 434, Alphaville Industrial, Barueri, SP 06455-010, Brazil
| | - Gustavo P Rodi
- From the Department of Radiology, Diagnósticos da América SA (DASA), Av Juruá 434, Alphaville Industrial, Barueri, SP 06455-010, Brazil
| | - Taísa P D Gasparetto
- From the Department of Radiology, Diagnósticos da América SA (DASA), Av Juruá 434, Alphaville Industrial, Barueri, SP 06455-010, Brazil
| | - Roberto Blasbalg
- From the Department of Radiology, Diagnósticos da América SA (DASA), Av Juruá 434, Alphaville Industrial, Barueri, SP 06455-010, Brazil
| | - Fernanda G Velloni
- From the Department of Radiology, Diagnósticos da América SA (DASA), Av Juruá 434, Alphaville Industrial, Barueri, SP 06455-010, Brazil
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Patel AK, Raizadey S, Triparthi A, Jain S, Khare S. Vascular and Ureteric Anomalies Associated with an Abdominal Ectopic Kidney: a Case Study. MÆDICA 2020; 15:418-421. [PMID: 33312263 DOI: 10.26574/maedica.2020.15.3.418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Introduction: Renal ectopia is an uncommon congenital condition, where kidney is misplaced and malrotated. Results: In the present study, it was found that the right kidney had a lower position (at the level of L2 to L5) than usual. The hilum of the right kidney was facing anterolaterally and had two renal pelvises. The right kidney was supplied by five renal arteries and the left one by two renal arteries. Discussion: Renal ectopia occurs due to abnormal ascend and rotation of the kidney. The majority of ectopia cases were reported in the pelvic region, but in the present study it was found in the abdominal region. Conclusion: Ectopic kidney may occur due to abnormal ascent and rotation of kidney. It may be associated with vascular and ureteric anomalies.
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Affiliation(s)
- Ajay Kumar Patel
- Department of Anatomy, All India Institute of Medical Sciences (AIIMS), Jharkhand, India
| | - Shobhit Raizadey
- Department of Anatomy, Swamy Vivekanand Subharti University, Meerut, UP, India
| | - Alok Triparthi
- Department of Anatomy, Swamy Vivekanand Subharti University, Meerut, UP, India
| | - Shilpi Jain
- Department of Anatomy, Swamy Vivekanand Subharti University, Meerut, UP, India
| | - Satyam Khare
- Department of Anatomy, Swamy Vivekanand Subharti University, Meerut, UP, India
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Embryology of the urogenital tract; a practical overview for urogynecologic surgeons. Int Urogynecol J 2020; 32:239-247. [PMID: 33123766 DOI: 10.1007/s00192-020-04587-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Accepted: 10/22/2020] [Indexed: 01/05/2023]
Abstract
INTRODUCTION AND HYPOTHESIS Urinary tract anomalies are one of the most common birth defects. Nevertheless, they prove challenging to diagnose as a result of variable presenting symptoms. We aimed to perform a review of urogenital tract development, highlight common congenital upper urinary tract anomalies encountered by urogynecologists and tools to facilitate diagnosis. METHODS Multiple searches were performed utilizing resources such as PubMed and the TriHealth library database to access publications related to embryology of the urinary tract and urinary tract anomalies. Each citation was reviewed. RESULTS Congenital urinary tract anomalies account for up to 20% of all birth defects and occur more often in females. The true incidence of these malformations is unknown as some can remain clinically insignificant throughout life. In addition, patients may present with non-specific complaints such as urinary tract infections, nephrolithiasis or urinary incontinence. Therefore, unsuspected anomalies pose a risk of delayed diagnosis and potential injury during urogynecologic surgery. Imaging modalities such as computed tomography or magnetic resonance imaging are the most common diagnostic tests. Management and treatment options range from observation to surgical resection with the goal of optimizing long-term functionality and prevention of chronic sequelae. CONCLUSION Patients with urinary tract anomalies can present with vague complaints often encountered by urogynecologists. It is crucial to understand the embryologic development of urinary tract anomalies to help facilitate diagnosis and guide care within the office and operating room setting.
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Grasso S, Laurel M, Lewis J, Naiyer M, Ricca R, Keckeisen G. Renal artery dissection as an overuse Injury. SAGE Open Med Case Rep 2020; 8:2050313X20951362. [PMID: 33062277 PMCID: PMC7533931 DOI: 10.1177/2050313x20951362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Accepted: 07/29/2020] [Indexed: 11/17/2022] Open
Abstract
The diagnosis of renal infarction is often convoluted due to its non-specific presentation. It can mimic disease processes as disparate as pyelonephritis, diverticulitis, or nephrolithiasis. This case is further complicated by the presence of a pelvic kidney with triplicate arterial input. It is difficult to estimate the incidence of pelvic kidneys as the numerous sources vary wildly in their estimations; however, the paucity information, in and of itself, speaks to the rarity of the condition. In this case, a 58-year-old male presents to the emergency department after experiencing sharp, sudden, and severe groin pain while swinging a golf club. The patient was noted to have an abnormally high systolic blood pressure in the 170s and hematuria, but all other initial labs and assessments were unremarkable. An initial computed tomography scan with intravenous contrast of the abdomen and pelvis showed partial necrosis of a pelvic kidney. Follow-up computed tomography angiography revealed that a dissection in one of the arteries supplying the kidney created an infarction and resultant necrosis. Vessel size, location and time between injury and diagnosis made endovascular intervention impractical. The patient was started on aspirin and Plavix, observed for 3 days and sent home.
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Affiliation(s)
- Sierra Grasso
- Department of Surgery, Stony Brook Southampton Hospital, Southampton, NY, USA
| | - Mia Laurel
- Family Medicine & Neuromusculoskeletal Medicine, Stony Brook Southampton Hospital, Southampton, NY, USA
| | - Joseph Lewis
- Department of Surgery, Stony Brook Southampton Hospital, Southampton, NY, USA
| | - Mohammad Naiyer
- Department of Surgery, Stony Brook Southampton Hospital, Southampton, NY, USA
| | - Richard Ricca
- Department of Surgery, Stony Brook Southampton Hospital, Southampton, NY, USA
| | - George Keckeisen
- Department of Surgery, Stony Brook Southampton Hospital, Southampton, NY, USA
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Derbel B, Terzi M, Ghedira F, Koubaa MA, Ziadi J, Denguir R. Aortoiliac occlusive disease associated with an ectopic pelvic kidney. Asian Cardiovasc Thorac Ann 2019; 28:108-111. [PMID: 31635475 DOI: 10.1177/0218492319883527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
A pelvic kidney is a rare congenital anomaly. In patients requiring aortic surgery, the diagnosis of associated pelvic kidney is always challenging. This anomaly is best known for being associated with abdominal aortic aneurysm and rarely, with aortoiliac occlusive disease. We report the case of a 59-year-old man who presented with critical left lower limb ischemia secondary to bilateral iliac occlusion associated with pelvic kidney. He underwent aortofemoral bypass with an uneventful outcome.
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Affiliation(s)
- Bilel Derbel
- Faculty of Medicine Tunis, University El Manar, Tunis, Tunisia.,Department of Cardiovascular Surgery, Rabta Hospital, Tunis, Tunisia
| | - Myriam Terzi
- Department of Cardiovascular Surgery, Rabta Hospital, Tunis, Tunisia
| | - Faker Ghedira
- Faculty of Medicine Tunis, University El Manar, Tunis, Tunisia.,Department of Cardiovascular Surgery, Rabta Hospital, Tunis, Tunisia
| | | | - Jalel Ziadi
- Faculty of Medicine Tunis, University El Manar, Tunis, Tunisia.,Department of Cardiovascular Surgery, Rabta Hospital, Tunis, Tunisia
| | - Raouf Denguir
- Faculty of Medicine Tunis, University El Manar, Tunis, Tunisia.,Department of Cardiovascular Surgery, Rabta Hospital, Tunis, Tunisia
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Knipe HC. A case of bilateral pelvic kidneys. J Med Imaging Radiat Oncol 2019; 63:639-640. [DOI: 10.1111/1754-9485.12941] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Revised: 07/21/2019] [Accepted: 07/29/2019] [Indexed: 11/30/2022]
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Hamadah HK, Hijazi O, Faraji MA, Kabbani MS. Bedside ultrasonography screening for congenital renal anomalies in children with congenital heart diseases undergoing cardiac repair. J Saudi Heart Assoc 2018; 30:95-101. [PMID: 29910579 PMCID: PMC6000884 DOI: 10.1016/j.jsha.2017.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2017] [Revised: 08/30/2017] [Accepted: 09/10/2017] [Indexed: 11/17/2022] Open
Abstract
Introduction Ultrasound (US) assessment of renal anomalies in children requiring pediatric cardiac surgery is not a standard practice. This study is highlighting the role of bedside US performed by intensivist to detect occult renal anomalies associated with congenital heart disease (CHD). Methods A cross sectional study for 100 consecutive children with CHD admitted to Pediatric Cardiac Intensive Care Unit (PCICU) in 2015. US of kidneys screening was performed by trained pediatric cardiac intensivists to ascertain the presence of both kidneys in renal fossae without gross anomalies and to investigate if early detection of occult kidney anomaly would have any impact on outcome. Results After screening of 100 consecutive children with CHD with renal US, we identified in 94 cases (94%) normal right and left kidney in the standard sonographer shape within the renal fossae. In 6 cases further investigation revealed ectopic kidney in 3 patients (50%), solitary functional kidney in 2 patients (33%) and bilateral grade IV hydronephrosis in one patient (17%). Urinary tract infection developed peri-operatively in 66% of the cases with kidney anomalies with statistical significance compared to patients with normal renal US (P: 0.0011). No significant renal impairment was noted in these patients post-surgery. We observed no specific association between the type of renal anomaly and specific CHD. Conclusion Routine renal US in children with CHD demonstrated prevalence of associated congenital renal anomalies in 6% of children undergoing cardiac surgery. The presence of occult renal anomalies was associated with higher UTI risk. Performing routine renal US as a standard practice in children with CHD is justifiable.
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Affiliation(s)
- Hussam K. Hamadah
- Section of Pediatric Cardiac ICU, King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard–Health Affairs, Riyadh, Saudi ArabiaaSaudi Arabia
- Corresponding author at: Section of Pediatric Cardiac ICU, King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard–Health Affairs, Mail Code: 1423, P.O. Box 22490, Riyadh 11426, Saudi Arabia. Fax: +966 118011111x16773.
| | - Omar Hijazi
- Section of Pediatric Cardiac ICU, King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard–Health Affairs, Riyadh, Saudi ArabiaaSaudi Arabia
- King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiacSaudi Arabia
| | - Mohammad A. Faraji
- Section of Pediatric Radiology, King Abdulaziz Medical City, Ministry of National Guard–Health Affairs, Riyadh, Saudi ArabiabSaudi Arabia
| | - Mohamed S. Kabbani
- Section of Pediatric Cardiac ICU, King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard–Health Affairs, Riyadh, Saudi ArabiaaSaudi Arabia
- King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiacSaudi Arabia
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Giorlando F, Recaldini C, Leonardi A, Macchi E, Fugazzola C. Duplex collecting system in a pelvic kidney - an unusual combination. J Radiol Case Rep 2017; 11:8-15. [PMID: 29290905 PMCID: PMC5741085 DOI: 10.3941/jrcr.v11i12.2991] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2023] Open
Abstract
Pelvic kidney is a relatively common renal malformation as well as duplex kidney; however, the unilateral coexistence of these abnormalities is not frequently found. We present a case of a young woman with a history of hypertension in whom a pelvic and dysmorphic left kidney was discovered during ultrasound examination performed for the study of the renal arteries. Magnetic resonance imaging and computed tomography imaging revealed a duplex pelvic kidney. This combination is very rare; we have not found a similar case reported in the literature.
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Affiliation(s)
| | | | - Anna Leonardi
- Department of Radiology, University Hospital of Varese, Italy
| | - Edoardo Macchi
- Department of Radiology, University Hospital of Varese, Italy
| | - Carlo Fugazzola
- Department of Radiology, University Hospital of Varese, Italy
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