Department of General Surgery, Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, India.
Department of Urology, Acharya Vinoba Bhave Hospital, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India.
Pan Afr Med J. 2022 May 16;42:42. doi: 10.11604/pamj.2022.42.42.34539. eCollection 2022.
The duplex kidney is one of the common congenital anomalies of the kidney and urinary tract. Meanwhile, renal cell carcinoma is also the most typical variant constituting more than 90% of cancers of the kidneys. However, renal cell carcinoma is rare in a duplicated collecting system, and literature regarding its association is very sparse. Herein, we present a 28-year-old male patient who presented with abdominal pain and hematuria and was diagnosed with left upper pole renal cell carcinoma coexisted with a duplicated collecting system by computed tomography scan. The patient underwent a left partial nephrectomy followed by meticulous suturing of opened pelvicalyceal system. The histopathology result showed clear cell carcinoma. The postoperative period was uneventful, and the patient was discharged without complications. In conclusion, the coexistence of the duplex system and renal cell carcinoma in the ipsilateral kidney is rare and maybe more than a coincidence, requiring a deeper insight and further elucidation.
重复肾是肾脏和泌尿道常见的先天性异常之一。同时，肾细胞癌也是最典型的变异类型，构成了超过 90%的肾癌。然而，重复集合系统中肾细胞癌很少见，关于其相关性的文献也非常稀少。在此，我们介绍了一位 28 岁男性患者，他因腹痛和血尿就诊，经计算机断层扫描诊断为左肾上极肾细胞癌合并重复集合系统。患者接受了左部分肾切除术，随后仔细缝合开放的肾盂系统。组织病理学结果显示为透明细胞癌。术后无并发症，患者顺利出院。总之，同侧肾脏的重复系统和肾细胞癌共存是罕见的，可能不仅仅是巧合，需要更深入的了解和进一步阐明。
