Choi T, Yoo KH, Song R, Lee DG. Lump type crossed fused renal ectopia with bilateral vesicoureteral reflux: A case report. World J Clin Cases 2019; 7(6): 773-777 [PMID: 30968043 DOI: 10.12998/wjcc.v7.i6.773]
Corresponding Author of This Article
Dong-Gi Lee, MD, Doctor, Department of Urology, School of Medicine, Kyung Hee University, 892 Dongnam-ro, Gangdong-gu, Seoul 05278, South Korea. drpedurology@gmail.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 26, 2019; 7(6): 773-777 Published online Mar 26, 2019. doi: 10.12998/wjcc.v7.i6.773
Lump type crossed fused renal ectopia with bilateral vesicoureteral reflux: A case report
Taesoo Choi, Koo Han Yoo, Ran Song, Dong-Gi Lee
Taesoo Choi, Koo Han, Yoo, Dong-Gi Lee, Department of Urology, School of Medicine, Kyung Hee University, Seoul 05278, South Korea
Ran Song, Division of Rheumatology, Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul 05278, South Korea
Author contributions: Choi T reviewed the literature and contributed to manuscript drafting; Yoo KH reviewed the literature and contributed to manuscript drafting; Song R performed the disease consultation, and reviewed the literature; Lee DG interpreted the imaging findings and was responsible for the revision of the manuscript for intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the parent of child patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2013), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Dong-Gi Lee, MD, Doctor, Department of Urology, School of Medicine, Kyung Hee University, 892 Dongnam-ro, Gangdong-gu, Seoul 05278, South Korea. drpedurology@gmail.com
Telephone: +82-2-4407735 Fax: +82-2-4407744
Received: January 9, 2019 Peer-review started: January 10, 2019 First decision: January 19, 2019 Revised: January 31, 2019 Accepted: February 18, 2019 Article in press: February 18, 2019 Published online: March 26, 2019 Processing time: 75 Days and 20.9 Hours
Abstract
BACKGROUND
Crossed fused renal ectopia is a rare congenital anomaly of the ascent of the kidney. This anomaly may be observed as a solitary kidney during initial evaluation. A solitary kidney must be evaluated for associated anomalies such as duplication, horseshoe kidney, or crossed renal ectopia.
CASE SUMMARY
An anomaly was observed in a 9-mo-old male child who was subsequently diagnosed with crossed fused renal ectopia and vesicoureteral reflux (VUR). In this condition, recurrent febrile urinary tract infection can be a serious problem, and can easily cause renal damage due to relatively short ureters and high pressure in the kidney.
CONCLUSION
To prevent urosepsis and preserve renal function, early diagnosis and proper management including surgical correction should be considered for the management of renal ectopia with VUR.
Core tip: Crossed fused renal ectopia is a rare congenital anomaly in pediatric urology. The majority of the cases shows a favorable prognosis with conservative management, while early surgical intervention should be considered in selective cases. Up to now, the guideline for the disease has not established, and this case may be beneficial to determine therapeutic plan, especially for the necessity of surgery. Furthermore, the helpful diagnostic and therapeutic methods are mentioned based on our experience.
