Mesoblastic nephroma in crossed renal ectopia

Crossed-fused renal ectopia with renal calculi: Two case reports and a review of the literature

RATIONALE

Crossed renal ectopia (CRE) is a rare congenital anomaly that is frequently associated with gastrointestinal, cardiovascular, genital and bone malformations. To the best of our knowledge, only 35 cases of crossed renal ectopia involving calculi and 30 cases of CRE associated with renal carcinoma have been reported to date.

PATIENT CONCERNS

Here, we present 2 cases of crossed renal ectopia. A 59-year-old woman with diabetes presented to our hospital with abdominal pain. The second patient was a 24-year-old woman who complained with abdominal pain with a duration of 1 day.

DIAGNOSES

On the basis of abdominal ultrasonography, we suspected a solitary kidney both in the two patients. Combined with retrograde pyelography and 3D computed tomography, case 1 was diagnosed as an S-shaped right-to-left crossed-fused ectopic kidney with many stones in the left (normal) renal pelvis and case 2 was confirmed to have lump right-to-left crossed-fused renal ectopia with two 3-mm stones in the renal pelvis of the 2 kidneys.

INTERVENTIONS

Case 1 underwent percutaneous nephrolithotomy while case 2 refused to undergo surgery and underwent conservative treatment for pain relief.

OUTCOMES

Two patients have been followed up and have no stones recurrence.

LESSONS

Crossed fused renal ectopia is easily misdiagnosed as a solitary kidney. CRE is so rare that the recognition of the disease needs to be improved and effective treatment should be taken timely. According to the two cases and literature review, minimally invasive surgery has become increasingly common to treat CRE with stones and carcinoma.

Crossed renal ectopia without fusion associated with hydronephrosis in an infant

The incidence of crossed "fused" renal ectopia has been reported at 1 in 7,500 autopsies, an incidence approximately ten times more frequent than crossed renal ectopia without fusion. Most cases remain asymptomatic and are incidentally encountered on autopsy or during routine workup for unrelated disorders. We herein report a case of ureteropelvic junction obstruction secondary to a high ureteral insertion in the pelvis of a crossed unfused ectopic kidney.

Crossed renal ectopia. Case report

Crossed renal ectopia is a relatively rare anomaly with non-specific manifestations, sometimes diagnosed incidentally. Eight cases are reported, the etiology, diagnostic approach and management of the urological complications are discussed.