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儿童胸段肾异位:一例报告及文献综述

Thoracic renal ectopia in children: A case report and literature review.

作者信息

Orbegoso-Celis Luis J, Arias Delgado José A, Imán Izquierdo Fernando J, Murga Kilder García, Caceres Onice J, Fribourg-Liendo Rodrigo A, Silva-Caso Wilmer

机构信息

Pediatric Urology Unit, Edgardo Rebagliati Martins Hospital, Lima, Peru.

Urology Service, Guillermo Almenara Irigoyen Hospital, Lima, Peru.

出版信息

Urol Case Rep. 2025 Jun 16;61:103101. doi: 10.1016/j.eucr.2025.103101. eCollection 2025 Jul.

DOI:10.1016/j.eucr.2025.103101
PMID:40599677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12209886/
Abstract

Renal ectopia is an uncommon anomaly, with the majority of cases localized to the pelvic region. The thoracic kidney constitutes 5 % of the total kidney mass and typically does not manifest symptoms. Case report, 10-year-old male was referred to the outpatient urology clinic to investigate the absence of the left kidney. At the time of consultation, no respiratory or urological symptoms were reported. Chest CT revealed a left kidney located in the thoracic region without evidence of lithiasis or hydronephrosis. In conclusion diagnosis of thoracic renal ectopia is usually incidental, and expectant management is recommended in asymptomatic patients.

摘要

肾异位是一种罕见的异常情况,大多数病例局限于盆腔区域。胸内肾占肾脏总数的5%,通常无明显症状。病例报告:一名10岁男性因左肾缺如被转诊至泌尿外科门诊。会诊时,未报告有呼吸或泌尿系统症状。胸部CT显示左肾位于胸腔内,无结石或肾积水迹象。总之,胸内肾异位的诊断通常是偶然的,对于无症状患者建议采取观察等待的处理方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7c1/12209886/8fd590d2db5b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7c1/12209886/0c7424fb0b97/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7c1/12209886/8fd590d2db5b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7c1/12209886/0c7424fb0b97/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7c1/12209886/8fd590d2db5b/gr2.jpg

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本文引用的文献

1
Congenital Intrathoracic Ectopic Kidney in Association With Bochdalek Hernia.先天性胸腔内异位肾合并波氏孔疝
Cureus. 2022 Feb 28;14(2):e22674. doi: 10.7759/cureus.22674. eCollection 2022 Feb.
2
Rare renal ectopia in children - intrathoracic ectopic kidney.儿童罕见肾异位——胸腔内异位肾。
Dev Period Med. 2015 Apr-Jun;19(2):186-8.
3
Intrathoracic kidney in a child with literature review.小儿胸腔内肾并文献复习
Saudi J Kidney Dis Transpl. 2015 Mar;26(2):349-54. doi: 10.4103/1319-2442.152509.
4
Thoracic kidney associated with congenital diaphragmatic hernia.胸内肾合并先天性膈疝
Congenit Anom (Kyoto). 2009 Sep;49(3):118-20. doi: 10.1111/j.1741-4520.2009.00237.x.
5
Ectopic thoracic kidney in a child with congenital diaphragmatic hernia.一名患有先天性膈疝儿童的异位胸肾。
Eur J Pediatr Surg. 2005 Jun;15(3):206-9. doi: 10.1055/s-2005-837608.
6
Thoracic left kidney: a differential diagnostic dilemma for thoracic surgeons.胸腔内左肾:胸外科医生面临的鉴别诊断难题。
Ann Thorac Surg. 2001 Jul;72(1):281-3. doi: 10.1016/s0003-4975(00)02385-7.