Di Giuliano Francesca, Picchi Eliseo, Lacchè Adriano, Bozzi Alessio, Cavaleri Yuri, Garaci Francesco, Floris Roberto
Fondazione PTV Policlinico "Tor Vergata", University of Rome "Tor Vergata", Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy.
Fondazione PTV Policlinico "Tor Vergata", University of Rome "Tor Vergata", Department of Surgery; Urology UOC, 00133 Rome, Italy.
Radiol Case Rep. 2019 Mar 25;14(6):678-682. doi: 10.1016/j.radcr.2019.03.004. eCollection 2019 Jun.
Renal reversed rotation is a congenital abnormality due to anomalous kidney rotation around its long axis, resulting in faced laterally renal hilum; this condition is associated with several vascular variants. The aim of this report is to describe the case of a 47-year-old male with renal reversed rotation who came to our attention after ultrasound exam. The association of renal rotation and vascular anomalies increases long-term complications as kidney lithiasis, hydronephrosis, colic pain, hematuria, and renal failure. We decided to study the anatomy and renal function of the reversed rotated kidney by multiphasic computed tomography and renal dimercaptosuccinic acid-scintigraphy. It is critical for urologists and radiologists to recognize this abnormality in order to plan the best treatment and follow-up.
肾反向旋转是一种先天性异常，是由于肾脏围绕其长轴异常旋转，导致肾门朝向外侧；这种情况与多种血管变异有关。本报告的目的是描述一名47岁肾反向旋转男性患者的病例，该患者在超声检查后引起了我们的注意。肾旋转与血管异常的关联增加了长期并发症的发生，如肾结石、肾积水、绞痛、血尿和肾衰竭。我们决定通过多期计算机断层扫描和肾二巯基丁二酸闪烁扫描来研究反向旋转肾脏的解剖结构和肾功能。泌尿外科医生和放射科医生认识到这种异常情况对于规划最佳治疗和随访至关重要。
