Laarif Souha, Abdallah Rabiaa Ben, Daïb Aida, Saadi Cyrine, Hellal Youssef, Kaabar Nejib
Pediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia.
Pediatric Surgery Department, Habib Thameur Hospital, Tunis, Tunisia.
Int J Surg Case Rep. 2023 Sep;110:108704. doi: 10.1016/j.ijscr.2023.108704. Epub 2023 Aug 20.
Crossed renal ectopy (CRE) is a very rare congenital kidney anomaly. CRE is usually asymptomatic and is most often discovered incidentally, but the patient may sometimes develop various renal manifestations.
We report a case of a girl who was symptomatic of several episodes of urinary tract infections and whose investigations including ultrasound, uroscan, renal scan and voiding cystourethrogram concluded that she had a crossed left renal ectopy without vesico-ureteral reflux. A regular Follow-up revealed no further symptoms or complications, with partial resolution of the hydronephrosis, and no recurrence of urinary tract infections after hygienic rules. This case didn't require surgical intervention.
CRE is an infrequently occurring congenital malformation. Uroscan is an excellent tool to describe the full anatomical details of this pathology; and the information provided is crucial for surgeons, nephrologists, and radiologists to aid in the proper handling of this pathology.
CRE is a rare disease that can be diagnosed incidentally. Treatment is only indicated if complications occur or if there is other associated renal disease. Patients require continuous follow-up and need to be examined for potential complications.
交叉异位肾（CRE）是一种非常罕见的先天性肾脏异常。CRE通常无症状，最常偶然发现，但患者有时可能出现各种肾脏表现。
我们报告一例女孩，她有多次尿路感染症状，包括超声、尿路造影、肾扫描和排尿性膀胱尿道造影等检查结果显示她患有左交叉异位肾且无膀胱输尿管反流。定期随访显示无进一步症状或并发症，肾积水部分缓解，遵循卫生规则后尿路感染未复发。该病例无需手术干预。
CRE是一种罕见的先天性畸形。尿路造影是描述这种病理状况完整解剖细节的极佳工具；所提供的信息对于外科医生、肾病学家和放射科医生正确处理这种病理状况至关重要。
CRE是一种可偶然诊断的罕见疾病。仅在出现并发症或存在其他相关肾脏疾病时才进行治疗。患者需要持续随访，并需检查是否有潜在并发症。
