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Unilateral Renal Agenesis in Horseshoe Kidney with Multiple other Anomalies a, Case Report
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MR Rabani   1, A Gabar Nejad |
| 1- , SMR.Rab@gmail.com |
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Abstract: (6266 Views) |
| ABSTRACT:
Introduction & Objective: Horseshoe kidney is seen in about 1 in 400 persons. It is found more commonly in males by 2: 1 margin . It can be seen in all age groups but in autopsy series. It is more prevalent in children, that is related to the high incidence of multiple congenital anomalies associated with the horseshoe kidney, some of which are incompatible with long- term survival.
Case: The patient was a 25 years old man who presented with RLQ pain from 2 months before admission. In physical Examination, there was tenderness in this area. All routine lab data were in normal range. Sonography showed normal left kidney , absence right kidney and a large cystic structure occupying the left and posterior aspect of the bladder. IVP showed non visualization of right kidney , malrotation of left kidney and a filling defect in the right side of the bladder. C.T. Scan with and without IV contrast confirmed above data. Cystoscopy revealed hemitrigone with a mass effect . Surgical exploration showed, ectopic right ureter within ejaculatory ducts. All its abnormal course, deviating to left side and ending in a fibro vascular structure attached to an isthmus on vertebral column. 2 months later the patient were admitted in neurosurgical ward and underwent craniotomy due to brain aneurysm.
Conclusion: Horseshoe kidney may present with unilateral renal agenesis or only with a rudimentary kidney with ectopic ureter. |
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| Keywords: KEYWORDS:Horseshoe kidney, Unilateral renal agenesis, Ectopic ureter, Brain aneurysm |
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Full-Text [PDF 194 kb]
(1024 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2015/06/10 | Accepted: 2015/06/10 | Published: 2015/06/10
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