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交叉未融合型盆腔异位肾:病例说明

Crossed Unfused Ectopic Pelvic Kidneys: A Case Illustration.

作者信息

Degheili Jad A, AbuSamra Murad M, El-Merhi Fadi, El-Hajj Albert

机构信息

Division of Urology, Department of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut 1107 2020, Lebanon.

Department of Diagnostic Radiology, American University of Beirut Medical Center, Riad El-Solh, Beirut 1107 2020, Lebanon.

出版信息

Case Rep Urol. 2018 May 7;2018:7436097. doi: 10.1155/2018/7436097. eCollection 2018.

DOI:10.1155/2018/7436097
PMID:29854552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5964582/
Abstract

Crossed unfused ectopia constitutes a very rare variant of ectopic kidneys, with an approximate incidence of 1 : 75000. We hereby describe a rare case of an incidental finding of crossed unfused ectopic kidneys, in a 45-year-old gentleman incidentally found to have a bladder lesion. The unique blood supply of his kidneys has also been described. The present case also highlights the different subtypes of renal ectopia, the different embryological hypotheses behind their presentation, and the various systematic anomalies, associated with them. Variations in vasculature of ectopic kidneys have been only described in case reports and are crucial to recognize in case any further intervention is needed.

摘要

交叉未融合异位肾是一种非常罕见的异位肾变体,发病率约为1:75000。我们在此描述一例罕见病例,一名45岁男性偶然发现膀胱病变,同时意外发现交叉未融合异位肾。文中还描述了其独特的肾脏血液供应情况。本病例还突出了肾异位的不同亚型、其表现背后不同的胚胎学假说以及与之相关的各种系统性异常。异位肾血管的变异仅在病例报告中有描述,在需要进一步干预的情况下,识别这些变异至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/157c/5964582/8b33b4cc47e6/CRIU2018-7436097.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/157c/5964582/0471a03215b4/CRIU2018-7436097.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/157c/5964582/2e323a07cd03/CRIU2018-7436097.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/157c/5964582/8b33b4cc47e6/CRIU2018-7436097.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/157c/5964582/0471a03215b4/CRIU2018-7436097.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/157c/5964582/2e323a07cd03/CRIU2018-7436097.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/157c/5964582/8b33b4cc47e6/CRIU2018-7436097.003.jpg

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本文引用的文献

1
Crossed nonfused renal ectopia with variant blood vessels: a rare congenital renal anomaly.交叉性未融合肾异位伴血管变异:一种罕见的先天性肾异常。
Radiol Case Rep. 2016 Nov 29;12(1):59-64. doi: 10.1016/j.radcr.2016.10.016. eCollection 2017 Mar.
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Crossed Renal Ectopia without Fusion: An Uncommon Cause of Abdominal Mass.交叉异位肾无融合:腹部肿块的罕见原因。
Case Rep Nephrol. 2015;2015:679342. doi: 10.1155/2015/679342. Epub 2015 Jul 28.
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The Rarest of the Rare: Crossed Fused Renal Ectopia of the Superior Ectopia Type.极为罕见:上位异位型交叉融合肾异位。
交叉融合不良性肾异位合并肾盂输尿管连接部梗阻并肾结石:一种罕见且棘手的三联症,采用机器人手术治疗。
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Right lump kidney with varied vasculature and urinary system revealed by multidetector computed tomographic (MDCT) angiography.多层螺旋计算机断层扫描(MDCT)血管造影显示右肾肿块伴有多样的脉管系统和泌尿系统。
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Crossed unfused renal ectopia.交叉性未融合肾异位
BMJ Case Rep. 2014 Feb 10;2014:bcr2013202960. doi: 10.1136/bcr-2013-202960.
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Crossed Renal Ectopia without Fusion-An Unusual Cause of Acute Abdominal Pain: A Case Report.交叉异位肾无融合——急性腹痛的罕见病因:一例报告
Case Rep Urol. 2012;2012:728531. doi: 10.1155/2012/728531. Epub 2012 Oct 10.
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Vascular anomaly in bilateral ectopic kidney: a case report.双侧异位肾中的血管异常:病例报告
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