Crossed renal ectopy. Presentation of a clinical case at the Hospital Regional Tlalnepantla ISSEMYM, Estado de México

Authors

  • Donovan Reynoso-Saldaña Instituto de Seguridad Social del Estado de México y Municipios, Hospital Regional Tlalnepantla, Tlalnepantla, Estado de México, México.
  • Gregorio de Jesús Jimenes-Gamas Instituto de Seguridad Social del Estado de México y Municipios, Hospital Regional Tlalnepantla, Tlalnepantla, Estado de México, México.
  • Andoni Guevara-Pinzón Instituto de Seguridad Social del Estado de México y Municipios, Hospital Regional Tlalnepantla, Tlalnepantla, Estado de México, México.
  • Cristian Daniel Guillén-Reveles Instituto de Seguridad Social del Estado de México y Municipios, Hospital Regional Tlalnepantla, Tlalnepantla, Estado de México, México.

DOI:

https://doi.org/10.48193/revistamexicanadeurologa.v82i1.692

Keywords:

Renal ectopia, abnormality, congenital, kidney, ureter, tomography, abdomen

Abstract

Abstract

 

Crossed renal ectopia is a rare congenital abnormality, where the ectopic kidney crosses the midline, and is located in a position contralateral to its normal position 1. It has a higher prevalence in men in relation to 2-3: 1to women 2, and it has a 3 times higher prevalence on the right side than on the left. Most of the cases are asymptomatic and the diagnosis is made when a pathology is established on the ectopic kidney, such as infections, lithiasis, tumors or other less frequent ones3. A case presentation of a 57-year-old male patient is made, in which the presence of the anatomical anomaly was incidentally discovered.

 

Objective: To present a clinical case report of a patient with a condition of Cross Renal Ectopia as an image study finding.

 

Material and methods: Descriptive study where complementary imaging studies are made, in relation to current condition.

 

Results: A patient with a condition of Cross Renal Ectopia was shown at the Tlalnepantla Regional Hospital ISSEMYM, presenting an incidence of less than 0.2% in frequency within the Mexican population.

 

frequency within the Mexican population.

Keywords. Renal ectopia, abnormality, congenital, kidney, ureter, tomography, abdomen.

References

Mancilla-Mazariegos S, González-Vergara C, Mancilla-Mazariegos S, González-Vergara C. Ectopia renal cruzada y fusionada. Acta médica Grupo Ángeles. 2016 Sep;14(3):162–4.

Ratola A, Almiro MM, Lacerda Vidal R, Neves N, Bicho A, Figueiredo S. Crossed Renal Ectopia without Fusion: An Uncommon Cause of Abdominal Mass. Case Reports in Nephrology. 2015 Jul 28;2015:e679342. doi: https://doi.org/10.1155/2015/679342

Pérez-Sánchez LE, Burneo-Esteves M, Rosat-Rodrigo A, Baz-Figueroa C, Pérez-Álvarez AD, Barrera-Gómez MÁ. [Crossed renal ectopia in a patient with a complicated sigma neoplasia]. Cir Cir. 2017 Dec;85 Suppl 1:72–5. doi: https://doi.org/10.1016/j.circir.2016.10.018

Liu L, Yang J, Zhu L, Yi L, Zhu B, Song W, et al. Crossed-fused Renal Ectopia Associated With Inverted-Y Ureteral Duplication, Ectopic Ureter, and Bicornuate Uteruses. Urology. 2010 May 1;75(5):1175–7. doi: https://doi.org/10.1016/j.urology.2010.02.037

Patel TV, Singh AK. Crossed fused ectopia of the kidneys. Kidney Int. 2008 Mar;73(5):662. doi: https://doi.org/10.1038/sj.ki.5002418

Ghosh BC, DeSantis M, Kleyner Y, Zak Y. Crossed fused renal ectopia with calculi. J Am Coll Surg. 2008 Apr;206(4):753. doi: https://doi.org/10.1016/j.jamcollsurg.2007.07.047

Vyas P, Campbell K, Blute M. Cross fused renal ectopia with associated renal cell carcinoma. Urol Case Rep. 2018 Mar 1;18:70–2. doi: https://dx.doi.org/10.1016%2Fj.eucr.2018.02.014

Solanki S, Bhatnagar V, Gupta AK, Kumar R. Crossed fused renal ectopia: Challenges in diagnosis and management. J Indian Assoc Pediatr Surg. 2013 Jan;18(1):7–10. doi: https://doi.org/10.4103/0971-9261.107006

Mudoni A, Caccetta F, Caroppo M, Musio F, Accogli A, Zacheo MD, et al. Crossed fused renal ectopia: case report and review of the literature. J Ultrasound. 2017 Apr 4;20(4):333–7. doi: https://dx.doi.org/10.1007%2Fs40477-017-0245-6

Al-Hamar NE, Khan K. Crossed nonfused renal ectopia with variant blood vessels: a rare congenital renal anomaly. Radiol Case Rep. 2017 Mar;12(1):59–64. doi: https://doi.org/10.1016/j.radcr.2016.10.016

Published

2022-02-21 — Updated on 2022-02-22

Versions

Issue

Section

Clinical cases