Crossed renal ectopia with rectal cancer:A case report

BACKGROUND Crossed renal ectopia(CRE)occurs when one kidney crosses the midline from the primary side to the contralateral side while the ureter remains on the primary side.Rectal cancer,one of the most common malignant tumors of the digestive tract,refers to cancer from the dentate line to the rectosigmoid junction.The concurrent presentation of CRE alongside rectal cancer is an uncommon clinical observation.CASE SUMMARY Herein,we report a 69-year-old male patient with rectal cancer who was diagnosed with CRE via computed tomography during hospitalization.Following thorough preoperative evaluations,the patient underwent Dixon surgery.CONCLUSION We performed laparoscopic radical resection of rectal cancer and adequate lymph node removal in a patient with CRE with no postoperative discomfort.

Fatal Outcome in a Right Bochdalek Hernia with Renal Ectopia Diagnosed in Adulthood

Diaphragmatic hernias may be acquired or congenital. Among congenital hernias, the most common is Bochdalek hernia and eight out of ten Bochdalek hernias occur on the left side. They are usually diagnosed in the paediatric age group, and it is exceedingly rare for the diagnosis to be established in adulthood. Renal ectopy associated with a Bochdalek hernia is extremely rare, and very few cases are reported worldwide. We are reporting a case of a 73-year-old male patient with a right-sided Bochdalek hernia and renal ectopy. In this case, promp diagnosis and treatment could help to reduce the high risk of death in this kind of patients.

融合性交叉异位肾伴旋转不良1例

患者男，47岁，因“尿频、尿急”就诊。超声于左肾区未见肾脏回声，于右肾下极见一个类似肾脏的结构；前列腺增大、回声欠均匀。

输尿管异位开口合并肾发育畸形的诊治分析

目的探讨输尿管异位开口的部位与其合并肾发育畸形不同类型,提高对输尿管异位开口合并肾发育畸形的认识及诊治水平。方法回顾性分析38例输尿管异位开口合并肾发育畸形患者的临床资料。儿童33例,成人5例,均为女性。术前通过各项辅助检查,明确输尿管异位开口和患肾发育情况,确定手术方式。结果本组病例明确输尿管异位开口侧异位肾28例,输尿管异位开口并双侧重复肾5例,输尿管异位开口侧肾发育不良并肾积水3例,输尿管异位开口侧重复肾并上肾多发结石及重度积水1例,输尿管异位开口侧重复肾并上肾盂重度积水1例。所有病例均手术治疗,因肾发育不良行肾切除25例(异位肾切除22例),重复肾切除4例,输尿管膀胱再植9例,其中异位肾输尿管膀胱再植术6例,重复肾输尿管膀胱再植术3例。结论输尿管异位开口合并肾发育畸形术前诊断应确定输尿管异位开口侧肾脏位置,畸形和发育不良等问题,而最终确定其手术方式,避免手术探查。

产前超声诊断胎儿异位肾的临床分析

目的 探讨产前超声对胎儿异位肾的诊断价值及临床意义.方法 回顾性分析我院2011年1月~2012年12月产前诊断的10例胎儿异位肾超声检查资料,并进行产后追踪随访,总结其彩色多普勒声像图表现特征,并与随访结果 相对照.结果 研究期间产前超声共诊断胎儿异位肾10例,其中盆腔异位肾9例,交叉异位肾1例.盆腔异位肾表现为盆腔内探及异位肾脏图像或盆腔内一实质性包块,发育较正常肾脏偏小;交叉异位肾表现为一侧肾区肾脏缺如而对侧肾脏明显长大,下极融合,可显示两组集合系统声像.结论 异位肾畸形胎儿超声声像图有一定的特征性表现,产前筛查胎儿异位肾畸形对优生优育具有重要的临床意义.

Bilateral thoracic kidneys combined with inferior vena cava located behind the anterior abdominal wall: A case report and review of literature

Ectopic thoracic kidneys are the rarest form of renal ectopia.Moreover,congenital abnormality of a primary anterior inferior vena cava(IVC)located behind the anterior abdominal wall is extremely rare.To date,only one such case has been reported.Herein,we report a rare case of a 55-year-old Chinese male with bilateral thoracic kidneys combined with an anterior IVC,a malformed liver,and a large-round-folds navel.The classification,clinical characteristics,and management options of a thoracic kidney was also summarized by literature review.To our best knowledge,the simultaneous detection of such multiple complex abnormalities has not been reported.

超声在诊断先天性融合肾畸形中的应用

目的探讨健康体检超声对融合肾诊断价值及漏诊原因分析。方法回顾性分析11例在我院做健康体检并诊断为超声资料,均经磁共振成像(MRI)证实,超声诊断融合肾9例。结果 11例融合肾中,2例双肾完全在中线一侧,9例部分越过中线或在中线附近融合;7例在左侧融合,4例在右侧融合;3例呈"S"形融合,7例呈马蹄形融合,1例呈团状融合;伴肾发育不良1例,输尿管畸形6例,其中一侧输尿管膨出1例,1例输尿管开口异常。结论超声可以多方位、多层面清晰显示FR融合的形态、位置及有无合并其他畸形,为临床诊断提供更多参考,可以作为诊断FR首选方法。