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交叉异位肾合并直肠癌：一例报告。

Crossed renal ectopia with rectal cancer: A case report.

作者信息

Tang Zhen-Wei, Yang Hui-Feng, Wu Zhao-Yu, Wang Chang-You

机构信息

Department of General Surgery, North China University of Science and Technology Affiliated Hospital, Tangshan 063000, Hebei Province, China.

出版信息

World J Clin Cases. 2024 Apr 26;12(12):2122-2127. doi: 10.12998/wjcc.v12.i12.2122.

DOI:10.12998/wjcc.v12.i12.2122
PMID:38680266
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11045513/
Abstract

BACKGROUND

Crossed renal ectopia (CRE) occurs when one kidney crosses the midline from the primary side to the contralateral side while the ureter remains on the primary side. Rectal cancer, one of the most common malignant tumors of the digestive tract, refers to cancer from the dentate line to the rectosigmoid junction. The concurrent presentation of CRE alongside rectal cancer is an uncommon clinical observation.

CASE SUMMARY

Herein, we report a 69-year-old male patient with rectal cancer who was diagnosed with CRE computed tomography during hospitalization. Following thorough preoperative evaluations, the patient underwent Dixon surgery.

CONCLUSION

We performed laparoscopic radical resection of rectal cancer and adequate lymph node removal in a patient with CRE with no postoperative discomfort.

摘要

背景

交叉异位肾（CRE）是指一侧肾脏越过中线从原侧移至对侧，而输尿管仍位于原侧。直肠癌是消化道最常见的恶性肿瘤之一，是指从齿状线至直肠乙状结肠交界处的癌症。CRE与直肠癌同时出现是一种罕见的临床现象。

病例摘要

在此，我们报告一名69岁的直肠癌男性患者，其在住院期间通过计算机断层扫描被诊断为CRE。经过全面的术前评估后，该患者接受了 Dixon 手术。

结论

我们对一名患有CRE的患者进行了腹腔镜直肠癌根治性切除术及充分的淋巴结清扫，术后患者无不适。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/11045513/e0fdeec21a3d/WJCC-12-2122-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/11045513/baeabe3990d4/WJCC-12-2122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/11045513/e0fdeec21a3d/WJCC-12-2122-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/11045513/baeabe3990d4/WJCC-12-2122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/11045513/e0fdeec21a3d/WJCC-12-2122-g002.jpg

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本文引用的文献

1
Crossed-fused renal ectopia with renal calculi: Two case reports and a review of the literature.交叉融合性肾异位伴肾结石：两例病例报告及文献综述
Medicine (Baltimore). 2019 Nov;98(48):e18165. doi: 10.1097/MD.0000000000018165.
2
Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2019 for the treatment of colorectal cancer.日本结直肠癌学会（JSCCR）2019 年结直肠癌治疗指南。
Int J Clin Oncol. 2020 Jan;25(1):1-42. doi: 10.1007/s10147-019-01485-z. Epub 2019 Jun 15.
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3D-laparoscopic anterior rectal resection in a patient with crossed fused renal ectopia: the importance of 3D imaging.
Minerva Chir. 2017 Dec;72(6):546-547. doi: 10.23736/S0026-4733.17.07363-1.
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Laparoscopic sigmoid colectomy for a patient with sigmoid colon cancer and crossed-fused renal ectopia: a case report.腹腔镜乙状结肠癌切除术治疗乙状结肠癌合并交叉融合型肾异位：病例报告
Int Surg. 2015 Mar;100(3):423-7. doi: 10.9738/INTSURG-D-13-00255.1.
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Management of ureteral obstruction in crossed fused renal ectopia: A case report.交叉融合肾异位中输尿管梗阻的处理：一例报告
Can Urol Assoc J. 2014 Sep;8(9-10):E752-4. doi: 10.5489/cuaj.2050.
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Laparoscopic resection aided by preoperative 3-D CT angiography for rectosigmoid colon cancer associated with a horseshoe kidney: A case report.术前三维CT血管造影辅助腹腔镜切除治疗乙状结肠直肠癌合并马蹄肾：一例报告
Asian J Endosc Surg. 2014 Nov;7(4):317-9. doi: 10.1111/ases.12123.
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Crossed fused renal ectopia presenting as recurrent lower abdominal pain and urinary tract infection.交叉融合肾异位表现为反复下腹部疼痛和尿路感染。
Afr J Med Med Sci. 2013 Jun;42(2):193-6.
8
Crossed fused renal ectopia: Challenges in diagnosis and management.交叉融合肾异位：诊断与管理中的挑战
J Indian Assoc Pediatr Surg. 2013 Jan;18(1):7-10. doi: 10.4103/0971-9261.107006.