Korean J Urol.  2014 Aug;55(8):554-556. 10.4111/kju.2014.55.8.554.

Management of an Iatrogenic Injury in a Crossed Ectopic Kidney Without Fusion

• Jindal T
• Kamal MR
• Mukherjee
• Mandal SN
• Karmakar D

• KMID: 1794592
• DOI: http://doi.org/10.4111/kju.2014.55.8.554

Abstract

Crossed renal ectopia is a condition in which a kidney is located on the side opposite of its ureteral insertion. Ninety percent of crossed ectopic kidneys are fused to their ipsilateral uncrossed renal unit. Crossed renal ectopia without fusion is rare, with only 62 patients reported in the literature to date. These kidneys may suffer iatrogenic injury during an unrelated surgical intervention. The injury, unless self-limiting, may necessitate the removal of the ectopic kidney. We present a unique case of a dual injury, renal as well as ureteric, in a crossed ectopic kidney without fusion that was successfully managed without surgical excision.

Keyword

Acute renal injury; Congenital abnormalities; Urogenital abnormalities

MeSH Terms

Adult
Choristoma/radiography/*therapy
Humans
*Iatrogenic Disease
Kidney/*abnormalities/injuries/radiography
Male
Stents
Tomography, X-Ray Computed
Ureter/abnormalities/injuries/radiography

Figure

• 

  FIG. 1 (A) Intravenous pyelogram showing the normally placed right kidney (dotted arrow) and the crossed ectopic kidney with excretion of contrast at the level of the fourth and fifth lumbar vertebrae (bold arrow). (B) Contrast-enhanced computed tomography scan showing the small, hydronephrotic ectopic left kidney (arrow) with excretion of contrast. (C) Retrograde pyelogram of the left side showing a hydronephrotic kidney with extravasation of the contrast from the kidney (dotted arrow). The ureteric narrowing is also seen (bold arrow). (D) Double J stent in situ.

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