Ghawanmeh Hamzeh M, Al-Ghazo Mohmmad, Halalsheh Omar M, Al-Ghazo Omar M, Alshammari Ahmad K, Al-Karasneh Anas I, Al-Okour Radwan
Department of Urology and General Surgery, Jordan University of Science and Technology, Irbid, Jordan.
Urol Case Rep. 2017 May 5;13:123-125. doi: 10.1016/j.eucr.2016.11.020. eCollection 2017 Jul.
The cake or lump kidney is a rare form of fusion. The pancake kidney is always found in the pelvic cavity, in the greater or lesser pelvis. However, we report a case of pancake kidney which was found inside abdominal cavity while investigating 32-year-old male for lower limb pain. CT scan with IV contrast reveals 'fused mass situated in the right side of abdominal cavity with course uncrossed ureters opening separately into the urinary bladder found incidentally with patient work up'. Pancake kidney in this case was managed conservatively without any complication. This malformation is usually present in pelvic cavity, so blood supply is almost constant but in rare cases might be different and follows location of this anomaly.
饼状肾是一种罕见的融合形式。饼状肾总是位于盆腔内,在大骨盆或小骨盆中。然而,我们报告了一例饼状肾病例,该病例是在对一名32岁男性下肢疼痛进行检查时在腹腔内发现的。静脉注射造影剂的CT扫描显示“融合肿块位于腹腔右侧,输尿管走行未交叉,分别开口于膀胱,在患者检查时偶然发现”。该病例的饼状肾采取保守治疗,无任何并发症。这种畸形通常存在于盆腔内,因此血液供应几乎恒定,但在罕见情况下可能不同,并随这种异常的位置而变化。