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Solitary Crossed Renal Ectopia: Concurrence of Posterior Urethral Valve and Hypospadias.

Bagheri A, Khorramirouz R, Keihani S, Fareghi M, Kajbafzadeh AM - Case Rep Nephrol (2015)

Bottom Line: Although skeletal and genitourinary abnormalities most commonly accompany this condition, vesicoureteral reflux (VUR) has been described in only a few cases.Here, we present two unique cases of SCRE complicated by high-grade VUR concomitant with posterior urethral valve in one case and hypospadias in the other one.We also provide a brief review of the literature on this subject.

View Article: PubMed Central - PubMed

Affiliation: Pediatric Urology Research Center, Pediatrics Center of Excellence, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran 1419433151, Iran.

ABSTRACT
Solitary crossed renal ectopia (SCRE) represents an exceedingly rare congenital disorder. Although skeletal and genitourinary abnormalities most commonly accompany this condition, vesicoureteral reflux (VUR) has been described in only a few cases. Here, we present two unique cases of SCRE complicated by high-grade VUR concomitant with posterior urethral valve in one case and hypospadias in the other one. We also provide a brief review of the literature on this subject.

No MeSH data available.


Related in: MedlinePlus

(a) VCUG, anteroposterior view showing VUR; ureter is seen crossing the midline from left to right side at the L5 level. (b) DMSA renal scan demonstrates absent activity in the left renal bed with acceptable cortical function of the right kidney.
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fig1: (a) VCUG, anteroposterior view showing VUR; ureter is seen crossing the midline from left to right side at the L5 level. (b) DMSA renal scan demonstrates absent activity in the left renal bed with acceptable cortical function of the right kidney.

Mentions: A 3-month-old boy born with a single umbilical artery was referred with a penile hypospadias. Ultrasound revealed an empty left renal fossa suggesting renal agenesis and a hypertrophic kidney (2.5 × 7.0 cm) on the right side with normal renal parenchyma. Dimercaptosuccinic acid (DMSA) scan showed acceptable cortical function of the right kidney; no tracer uptake was visualized on the left one. Voiding cystourethrogram (VCUG) demonstrated grade III VUR into the left ureter, with a path crossing the midline and entering the right kidney (Figure 1). On cystoscopy, single ureteral orifice was located on the left side. Dextranomer/hyaluronic acid copolymer (Deflux) was injected at the left ureteral orifice to correct the high-grade VUR. The patient was discharged asymptomatically with the resolution of VUR and was scheduled for a hypospadias repair.


Solitary Crossed Renal Ectopia: Concurrence of Posterior Urethral Valve and Hypospadias.

Bagheri A, Khorramirouz R, Keihani S, Fareghi M, Kajbafzadeh AM - Case Rep Nephrol (2015)

(a) VCUG, anteroposterior view showing VUR; ureter is seen crossing the midline from left to right side at the L5 level. (b) DMSA renal scan demonstrates absent activity in the left renal bed with acceptable cortical function of the right kidney.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4488548&req=5

fig1: (a) VCUG, anteroposterior view showing VUR; ureter is seen crossing the midline from left to right side at the L5 level. (b) DMSA renal scan demonstrates absent activity in the left renal bed with acceptable cortical function of the right kidney.
Mentions: A 3-month-old boy born with a single umbilical artery was referred with a penile hypospadias. Ultrasound revealed an empty left renal fossa suggesting renal agenesis and a hypertrophic kidney (2.5 × 7.0 cm) on the right side with normal renal parenchyma. Dimercaptosuccinic acid (DMSA) scan showed acceptable cortical function of the right kidney; no tracer uptake was visualized on the left one. Voiding cystourethrogram (VCUG) demonstrated grade III VUR into the left ureter, with a path crossing the midline and entering the right kidney (Figure 1). On cystoscopy, single ureteral orifice was located on the left side. Dextranomer/hyaluronic acid copolymer (Deflux) was injected at the left ureteral orifice to correct the high-grade VUR. The patient was discharged asymptomatically with the resolution of VUR and was scheduled for a hypospadias repair.

Bottom Line: Although skeletal and genitourinary abnormalities most commonly accompany this condition, vesicoureteral reflux (VUR) has been described in only a few cases.Here, we present two unique cases of SCRE complicated by high-grade VUR concomitant with posterior urethral valve in one case and hypospadias in the other one.We also provide a brief review of the literature on this subject.

View Article: PubMed Central - PubMed

Affiliation: Pediatric Urology Research Center, Pediatrics Center of Excellence, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran 1419433151, Iran.

ABSTRACT
Solitary crossed renal ectopia (SCRE) represents an exceedingly rare congenital disorder. Although skeletal and genitourinary abnormalities most commonly accompany this condition, vesicoureteral reflux (VUR) has been described in only a few cases. Here, we present two unique cases of SCRE complicated by high-grade VUR concomitant with posterior urethral valve in one case and hypospadias in the other one. We also provide a brief review of the literature on this subject.

No MeSH data available.


Related in: MedlinePlus