三肾：正常左肾与旋转不良马蹄肾并存：一例罕见病例报告。
A triple kidney: Coexistence of normal left kidney and mal-rotated horseshoe anomaly: A rare case report.
作者信息
Hussein Abdulaziz, Gareeballah Awadia, Elzaki Maisa, Abouraida Raga Ahmed, Ali Sara, Hamd Zuhal Y, Ahmed Elgaylani Ali Mohamed
机构信息
University of Medical Science and Technology, Graduate College, Khartoum, Sudan.
Department of Diagnostic Radiologic Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarrah, Saudi Arabia.
出版信息
Radiol Case Rep. 2024 May 21;19(8):3316-3320. doi: 10.1016/j.radcr.2024.04.071. eCollection 2024 Aug.
The occurrence of triple kidneys, involving a normal kidney and a malrotation horseshoe kidney, is an extremely infrequent condition. This case report demonstrates a triple, mal-rotated horseshoe kidneys coexist with an upper junction stone, alongside a normal left kidney showing normal Doppler vascularity, as observed in an ultrasound examination for 18-year-old male complaints of diffuse periumbilical pain and burning micturition. Laboratory investigation revealed normal creatinine level, and presence of urinary tract infection. Management option for this case are antibiotic therapy and surgical intervention for horseshoe kidney stone. Regular monitoring of kidney function, other radiographic imaging studies, and follow-up to assess the efficacy of the treatment, and detect any further complications are essential.
三肾（包括一个正常肾脏和一个旋转不良的马蹄肾）的情况极为罕见。本病例报告展示了一个旋转不良的马蹄形三肾与一个上极连接部结石并存，同时还有一个左肾正常，超声检查显示其多普勒血管情况正常，该病例来自一名18岁男性，主诉弥漫性脐周疼痛和排尿烧灼感。实验室检查显示肌酐水平正常，存在尿路感染。该病例的治疗方案是抗生素治疗以及针对马蹄肾结石的手术干预。定期监测肾功能、进行其他影像学检查以及随访以评估治疗效果并检测任何进一步的并发症至关重要。
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