Ilgi Musab, Kutsal Cemil, Albayrak Ahmet Tevfik, Kirecci Sinan Levent, Temel Ugur
Urology Clinic, Sisli Hamidiye Etfal Research and Training Hospital, University of Health Sciences, Sisli, Istanbul, Turkey.
Thoracic Surgery Clinic, Sisli Hamidiye Etfal Research and Training Hospital, University of Health Sciences, Sisli, Istanbul, Turkey.
Urol Ann. 2017 Jul-Sep;9(3):299-300. doi: 10.4103/UA.UA_169_16.
An ectopic kidney is a common developmental anomaly of the urinary system. However, the thoracic kidney (TK) is the rarest state form of an aberrant kidney. The aim of this case report is defining the symptoms in TK diagnosis and constructing a treatment model will promote the best outcomes. These patients come to the physician with the various symptoms, and they could be diagnosed incidentally. In our case, we describe 40 years female patient with severe respiratory problems and upper back pain. In the pulmonary clinic, suspected mass was diagnosed with chest X-ray, and computerized tomography detected nontraumatic nonhernia associated, a truly ectopic TK. Moreover, the thoracic surgeon and urologist team decided to exploration and reconstructed the right ectopic kidney. The 1 month of the control of patient symptoms was disappeared. Overall, TK should be kept in mind in the differential diagnosis of thoracic tumors. Surgical exploration and reconstruction should be thought in patients who have severe respiratory symptoms.
异位肾是泌尿系统常见的发育异常。然而，胸段肾（TK）是异位肾最罕见的状态形式。本病例报告的目的是明确胸段肾诊断中的症状，并构建一种治疗模式以促进最佳治疗效果。这些患者因各种症状前来就医，可能是偶然被诊断出来的。在我们的病例中，我们描述了一名40岁患有严重呼吸问题和上背部疼痛的女性患者。在肺部诊所，通过胸部X线诊断出疑似肿块，计算机断层扫描检测到非创伤性、非疝气相关的真正异位胸段肾。此外，胸外科医生和泌尿外科医生团队决定进行探查并重建右侧异位肾。患者症状在1个月的复查中消失。总体而言，在胸段肿瘤的鉴别诊断中应考虑胸段肾。对于有严重呼吸症状的患者应考虑手术探查和重建。
