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Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature

BACKGROUND: The incidence of ectopic kidneys is 1:12,000 clinically and 1:900 postmortem. Patients with pelvic mal-rotated kidneys are more susceptible to recurrent urinary tract infections, recurrent renal stones, and renal injury. Fusion of the kidney lower poles is relatively common compared to o...

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Autores principales: Khougali, Hussam S., Alawad, Omer Ali Mohamed Ahmed, Farkas, Nicholas, Ahmed, Mohammed Mahgoub Mirghani, Abuagla, Alnasri Mohammed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8020546/
https://www.ncbi.nlm.nih.gov/pubmed/33814014
http://dx.doi.org/10.1186/s13256-021-02761-1
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author Khougali, Hussam S.
Alawad, Omer Ali Mohamed Ahmed
Farkas, Nicholas
Ahmed, Mohammed Mahgoub Mirghani
Abuagla, Alnasri Mohammed
author_facet Khougali, Hussam S.
Alawad, Omer Ali Mohamed Ahmed
Farkas, Nicholas
Ahmed, Mohammed Mahgoub Mirghani
Abuagla, Alnasri Mohammed
author_sort Khougali, Hussam S.
collection PubMed
description BACKGROUND: The incidence of ectopic kidneys is 1:12,000 clinically and 1:900 postmortem. Patients with pelvic mal-rotated kidneys are more susceptible to recurrent urinary tract infections, recurrent renal stones, and renal injury. Fusion of the kidney lower poles is relatively common compared to other types of renal anomalies. CASE PRESENTATION: We present the case of a 36-year-old Sudanese female patient who presented with a long history of recurrent urinary tract infections unresponsive to antibiotics. Ultrasound scan revealed bilateral pelvic kidneys. Computed tomography (CT) urography confirmed bilateral ectopic fused kidneys, with the left kidney mal-rotated (renal pelvis facing upwards and laterally). Kidney infection secondary to vesicoureteral reflux was diagnosed. Antibiotics were prescribed according to culture and sensitivity. The patient responded well to ciprofloxacin. CONCLUSION: A history of recurrent urinary tract infections without an apparent cause is highly suggestive of renal anomaly and should be investigated expediently. Ultrasonography or CT imaging may be utilized to aid in diagnosis. Early recognition may help prevent the high risk of end-stage renal failure associated with anomalies.
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spelling pubmed-80205462021-04-07 Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature Khougali, Hussam S. Alawad, Omer Ali Mohamed Ahmed Farkas, Nicholas Ahmed, Mohammed Mahgoub Mirghani Abuagla, Alnasri Mohammed J Med Case Rep Case Report BACKGROUND: The incidence of ectopic kidneys is 1:12,000 clinically and 1:900 postmortem. Patients with pelvic mal-rotated kidneys are more susceptible to recurrent urinary tract infections, recurrent renal stones, and renal injury. Fusion of the kidney lower poles is relatively common compared to other types of renal anomalies. CASE PRESENTATION: We present the case of a 36-year-old Sudanese female patient who presented with a long history of recurrent urinary tract infections unresponsive to antibiotics. Ultrasound scan revealed bilateral pelvic kidneys. Computed tomography (CT) urography confirmed bilateral ectopic fused kidneys, with the left kidney mal-rotated (renal pelvis facing upwards and laterally). Kidney infection secondary to vesicoureteral reflux was diagnosed. Antibiotics were prescribed according to culture and sensitivity. The patient responded well to ciprofloxacin. CONCLUSION: A history of recurrent urinary tract infections without an apparent cause is highly suggestive of renal anomaly and should be investigated expediently. Ultrasonography or CT imaging may be utilized to aid in diagnosis. Early recognition may help prevent the high risk of end-stage renal failure associated with anomalies. BioMed Central 2021-04-05 /pmc/articles/PMC8020546/ /pubmed/33814014 http://dx.doi.org/10.1186/s13256-021-02761-1 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Khougali, Hussam S.
Alawad, Omer Ali Mohamed Ahmed
Farkas, Nicholas
Ahmed, Mohammed Mahgoub Mirghani
Abuagla, Alnasri Mohammed
Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature
title Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature
title_full Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature
title_fullStr Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature
title_full_unstemmed Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature
title_short Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature
title_sort bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8020546/
https://www.ncbi.nlm.nih.gov/pubmed/33814014
http://dx.doi.org/10.1186/s13256-021-02761-1
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