Crossed Fused Ectopic Kidney with Stone Disease and Bifid Renal Pelvis: A Case Report
Published: April 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/68368.19266
Vikram Satav, Ashish Gavade, Vilas Sabale, Sunil Mhaske, Shashikant Asabe
1. Professor, Department of Urology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.
2. Resident, Department of Urology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.
3. Professor, Department of Urology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.
4. Associate Professor, Department of Urology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.
5. Assistant Professor, Department of Urology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.
Correspondence Address :
Dr. Ashish Gavade,
Resident, Department of Urology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri, Pune-411018, Maharashtra, India.
E-mail: ashishg0208@gmail.com
Abstract
Crossed fused ectopic kidney is a rare congenital anomaly wherein the kidneys are present on the same side due to fusion. It is a rare disease that may remain undiagnosed throughout life. Its rarity and anatomical abnormality make any intervention challenging. A 32-year-old male patient presented with symptoms of pain in the abdomen and burning micturition for a year. Serum creatinine, along with other blood tests, was normal. X-ray KUB showed renal calculi in the region of the right kidney. However, a Computed Tomography (CT) scan showed that the left kidney was malrotated and fused with the lower pole of the right kidney, suggestive of crossed fused renal ectopia. A cystoscopy and retrograde pyelography were performed, followed by open pyelolithotomy, wherein calculi were removed, and a stent was placed. Through this case report, it is suggested that adequate presurgery evaluation is necessary for patients with such malformations.
Keywords
Congenital kidney disease, Fusion anomaly, Multiple calculi, Retrograde pyelography