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Crossed Fused Renal Ectopia

Daschbach EMD - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Crossed Fused Renal Ectopia

History: History of diverticulitis with recent removal of sigmoid colon and colostomy. No history of urologic complaints or problems.

Findings: CT revealed ill-defined mixture of soft tissue and air in the periumbilical region in the post-operative site. This in combination with the patient's history and physical exam are highly suggestive of an infection. The notable other finding on CT scan was the absence of a kidney in the right retroperitoneal space. Further inspection, however, revealed two left kidneys but also a distal right ureter with normal bladder insertion.

Ddx: The differential of an absent retroperitoneal kidney. 1) Congenital absence of the kidney 2) S/P nephrectomy 3) Renal ectopia (pelvic kidney, crossed fused ectopia, intrathoracic kidney)

Dxhow: CT findings

Exam: On physical exam, the patient's colostomy site was noted to be erythematous and tenderness to palpation. Laboratory tests were significant for an elevated white blood cell count.

No MeSH data available.


Axial CT shows colostomy bag as well as ill-defined mixture of soft tissue and air in the periumbilical post-operative bed suggestive of inflammation and/or infection.
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MPX1336_synpic26468: Axial CT shows colostomy bag as well as ill-defined mixture of soft tissue and air in the periumbilical post-operative bed suggestive of inflammation and/or infection.


Crossed Fused Renal Ectopia

Daschbach EMD - MedPix (2005)

Axial CT shows colostomy bag as well as ill-defined mixture of soft tissue and air in the periumbilical post-operative bed suggestive of inflammation and/or infection.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1336&req=5

MPX1336_synpic26468: Axial CT shows colostomy bag as well as ill-defined mixture of soft tissue and air in the periumbilical post-operative bed suggestive of inflammation and/or infection.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Crossed Fused Renal Ectopia

History: History of diverticulitis with recent removal of sigmoid colon and colostomy. No history of urologic complaints or problems.

Findings: CT revealed ill-defined mixture of soft tissue and air in the periumbilical region in the post-operative site. This in combination with the patient's history and physical exam are highly suggestive of an infection. The notable other finding on CT scan was the absence of a kidney in the right retroperitoneal space. Further inspection, however, revealed two left kidneys but also a distal right ureter with normal bladder insertion.

Ddx: The differential of an absent retroperitoneal kidney. 1) Congenital absence of the kidney 2) S/P nephrectomy 3) Renal ectopia (pelvic kidney, crossed fused ectopia, intrathoracic kidney)

Dxhow: CT findings

Exam: On physical exam, the patient's colostomy site was noted to be erythematous and tenderness to palpation. Laboratory tests were significant for an elevated white blood cell count.

No MeSH data available.