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膈下肾异位:病例报告及文献复习

Subdiaphragmatic Renal Ectopia: Case Report and Review of the Literature.

作者信息

Zolotas Eleftherios, Krishnan Rajesh G

机构信息

Children's Kidney Centre, University Hospital of Wales, Cardiff, UK.

出版信息

Case Rep Nephrol. 2016;2016:1084917. doi: 10.1155/2016/1084917. Epub 2016 Sep 7.

Abstract

Background. We report the case of a male infant whose right kidney migrated to an ectopic position after birth. The migration of a kidney in postnatal life without any symptoms has not been reported in literature so far. Case Presentation. In a series of antenatal and the first postnatal ultrasound scans, the right kidney was normally located within the right renal fossa. During the first 3 months of life, the kidney migrated to a subdiaphragmatic position. This was confirmed on MRI scan. The infant was asymptomatic with normal renal function and blood pressure. Conclusion. Postnatal migration of a kidney has been described in cases of diaphragmatic hernia or nephroptosis. In this report, we describe a case of kidney migration where there were no underlying anatomical defects to provide an explanation for the kidney migration. This is the first report in literature of a case of postnatal migration of a kidney.

摘要

背景。我们报告一例男婴病例,其右肾在出生后迁移至异位位置。迄今为止,文献中尚未报道过出生后肾脏迁移且无任何症状的情况。病例介绍。在一系列产前及出生后的首次超声扫描中,右肾正常位于右肾窝内。在出生后的前3个月内,该肾脏迁移至膈下位置。这在MRI扫描中得到证实。该婴儿无症状,肾功能及血压正常。结论。在膈疝或肾下垂病例中曾描述过出生后肾脏迁移的情况。在本报告中,我们描述了一例肾脏迁移病例,其中不存在潜在的解剖学缺陷来解释肾脏迁移。这是文献中首例关于出生后肾脏迁移的报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58bb/5030433/100438155ec9/CRIN2016-1084917.001.jpg

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