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异常肾血管导致交叉融合同侧异位肾积水：一例罕见病例报告。

Aberrant renal vessel causing hydronephrosis in crossed-fused ipsilateral ectopic kidney: a rare case report.

作者信息

Hasan Zaheer, Kumar Bindey, Thakur Ashokanand, Kumar Prem, Kumar Sanjeev

机构信息

Pediatric Surgery, Indira Gandhi Institute of Medical Sciences, Patna, Bihar India.

Radiodiology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar India.

出版信息

Indian J Surg. 2013 Jun;75(Suppl 1):201-3. doi: 10.1007/s12262-012-0639-9. Epub 2012 Jun 23.

DOI:10.1007/s12262-012-0639-9
PMID:24426564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3693307/
Abstract

A crossed-fused ectopic kidney is a rare congenital anomaly, and uncommonly we see an aberrant vessel as a cause of hydronephrosis in a kidney. We report a case of 4-year-old boy with crossed-fused right renal ectopia with hydronephrosis in the both kidneys. The aberrant renal vessel was found pressing the left pelvi-ureteric junction causing hydronephrosis. Dismembered pyeloplasty of the left kidney was performed anterior to the aberrant vessel. The patient is doing well in the follow-up visits and his renal function is stabilized. Aberrant blood supply may be a cause of hydronephrosis in the crossed-fused ectopic ipsilateral kidney. Keeping this entity in differential diagnosis will help in successful management of the crossed-fused ectopic kidney.

摘要

交叉融合异位肾是一种罕见的先天性异常，我们很少见到异常血管作为肾脏肾积水的原因。我们报告一例4岁男孩，患有交叉融合性右肾异位并双侧肾积水。发现异常肾血管压迫左肾盂输尿管连接处导致肾积水。在异常血管前方对左肾进行了离断性肾盂成形术。患者在随访中情况良好，肾功能稳定。异常血供可能是交叉融合异位同侧肾肾积水的一个原因。在鉴别诊断中考虑到这一情况将有助于成功处理交叉融合异位肾。

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引用本文的文献

1
A rare case of pelviureteric junction obstruction in the uncrossed kidney of a crossed fused renal ectopia.一例交叉融合肾异位未交叉侧肾脏肾盂输尿管连接部梗阻的罕见病例。
Ann R Coll Surg Engl. 2018 Aug 16;100(8):e1-e3. doi: 10.1308/rcsann.2018.0141.

本文引用的文献

1
Aberrant vessels in ipsilateral malrotated kidney associated with contralateral cross ectopia without fusion.同侧旋转不良肾脏中的异常血管与对侧交叉异位且无融合相关。
Int Urol Nephrol. 2005;37(1):39-41. doi: 10.1007/s11255-004-6075-4.
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Crossed renal ectopia with and without fusion.交叉异位肾伴或不伴融合。
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