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

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

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 o...

Full description

Saved in:
Bibliographic Details
Published in:Journal of medical case reports Vol. 15; no. 1; p. 181
Main Authors: Khougali, Hussam S, Alawad, Omer Ali Mohamed Ahmed, Farkas, Nicholas, Ahmed, Mohammed Mahgoub Mirghani, Abuagla, Alnasri Mohammed
Format: Journal Article
Language:English
Published: England BioMed Central Ltd 05-04-2021
BioMed Central
BMC
Subjects:
Abdomen
Abscesses
Adult
Antibiotics
Bilateral pelvic kidneys
Case Report
Case reports
Comparative analysis
CT imaging
Disease susceptibility
Female
Females
Health aspects
Humans
Kidney - diagnostic imaging
Kidney Calculi
Kidney stones
Kidneys
Patients
Pelvis
Pregnancy
Renal ectopia
Renal reversed rotation
Risk factors
Tetracycline
Tetracyclines
Tomography, X-Ray Computed
Ultrasonic imaging
Ultrasonography
Ultrasound imaging
Urinary tract diseases
Urinary tract infections
Urogenital system
Urography
Bilateral pelvic kidneys
Renal reversed rotation
Renal ectopia
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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. 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. 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.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-021-02761-1