Boujnah H, Abid I, Moalla N, Zmerli S
Service d'Urologie, Hôpital Charles-Nicolle, Tunis.
Ann Urol (Paris). 1989;23(1):11-6.
The pelvic ectopic kidney is a relatively rare congenital anomaly. It is situated below the horizontal level of the iliac crest. Fifty cases, collected over twelve years, are reported here: 47 unilateral PEK, 2 bilateral PEK, 1 solitary PEK. The main clinical patterns are outlined. The healthy ectopic kidney (18 cases): clinical complaints are derived from adjacent organs. The diseased ectopic kidney (32 cases). Urinary symptoms reveal the anomaly. Renal stones (21 cases) and uretero-pelvic junction disease (7 cases) are the most frequent lesions encountered. The diagnosis is based on IVP data. Ultrasonography and computed tomography are of great help: they avoid useless and expensive complementary investigations when clinical symptoms are misleading. Ectopic kidney should be treated as if it were in its normal position. However, surgical procedures that may be performed might be particularly difficult because of different anatomical environment and non-systematized blood supply.
盆腔异位肾是一种相对罕见的先天性异常。它位于髂嵴水平以下。本文报告了12年间收集的50例病例：47例单侧盆腔异位肾，2例双侧盆腔异位肾，1例孤立性盆腔异位肾。概述了主要临床类型。健康的异位肾（18例）：临床症状源于相邻器官。患病的异位肾（32例）。泌尿系统症状揭示了这种异常。肾结石（21例）和输尿管肾盂连接部疾病（7例）是最常见的病变。诊断基于静脉肾盂造影数据。超声检查和计算机断层扫描有很大帮助：当临床症状有误导性时，它们可避免进行无用且昂贵的补充检查。异位肾的治疗应如同其处于正常位置一样。然而，由于解剖环境不同和血供无规律，可能进行的外科手术可能会特别困难。
