Abstract
Ektopik böbrek nadir görülen bir konjenital malformasyondur. En
sık görülen lokalizasyon pelvistir. Ektopik böbrek sıklıkla radyolojik
tetkikler esnasında tesadüfen saptanırlar. Pelvik bölgede kitle oluşturduğu
için kolon tümörleri ve üreter kaynaklı kitleler ile karıştırılabilirler.
Eylül 2011’de, 45 yaşında bir erkek hasta acil servise karın
ağrısı ile başvurdu. Fizik muayenesinde, sol pelvik bölgede kitle ve
sol inguinal bölgede hassasiyet ve sol kostovertebral açı hassasiyeti
mevcuttu. İdrar mikroskopisinde her büyük büyütme alanında bol
eritrosit ve 3 lökosit görüldü. Batın-pelvik ultrasonografi ve bilgisayarlı
tomografi çekilerek pelvik ektopik böbrekte üreter taşı tanısı
konuldu. Pelvik ektopik böbrek ürolitiazisi sık karşılaşılan bir durum
değildir. Acil servise karın ağrısı ve kitle nedeniyle başvuran hastalarda
tanıda, ek bir patoloji olmadığı takdirde tedavi gerekmeyen,
pelvik ektopik böbrek ürolitiazisi olabileceği düşünülmelidir.
References
- Walsh PC, Gittes RF, Perlmutter AD, Stamey TA: Anomalies of the Upper Urinary Tract. Campbell’s Urology. 5th ed. Philedephia: W.B Saunders Company; 1986.p.1665-741.
- Hiroaka M. Medical management of congenital anomalies of the kid- ney and urinary tract. Pediatr Int 2003; 45: 624-33. [Crossref]
- Cinman NM, Okeke Z, Smith AD. Pelvik kidney associated diseases and treatment. J Endourol 2007; 21: 836-42. [Crossref]
- Coplen DE. Developmental and positional anomalies of the kidney. In: Pediatric Surgery, Ashcraft KW, Murphy JP, Sharp RJ, Sigalet DL, Snyder CL, Eds. 4th ed. Philadelphia: WB Saunders Company; 2000.p.681-9.
- Guarino N, Tadini B, Camardi P, Silvestro L, Lace R, Bianchi M. The in- cidence of associated urological abnormalities in children with renal ectopia. J Urol 2004; 172: 1757-9. [Crossref]
- Menon M, Resnick MI. Urinary lithiasis: Etiology, diagnosis and medi- cal management. In Walsh, Retik, Vaughan and Wein Editor. Campbell’s Urology. 8th ed. Philadelphia: WB Saunders; 2002.p.3229-306.
- Fleischer AC. Pelvik Kitlelerin Transabdominal ve/veya Transvaginal sonografi ile değerlendirilmesi, In: Fleischer AC, Manning FA, Jeanty P, Romero R Eds. Obstetrik ve Jinekolojide Sonografi Prensipler ve Klinik Uygulamalar, Çev. Edit: Yüksel A, İstanbul: Ulusal Tıp Kitabevi;1996.p.767.
- Öner A. I.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Üriner Sistem Taş Hastalığı. Sempozyum Dizisi. No:68 2009.p.19-40.
- Goel R, Yadav R, Gupta NP, Aron M. Laparoscopic assisted percutaneous nephrolithotomy (PCNL) in ectopic kidneys: Two different techniques. Int Urol Nephrol 2006; 38: 75-8. [Crossref]
Abstract
Ectopic kidney is a congenital malformation which is very rare. The most frequent localisation is in the pelvis. Ectopic kidney is frequently diagnosed incidentally during radiological examination. Because it creates pelvic mass, it can be misdiagnosed as colonic tumours or ureteric masses. In September 2011, a 45-year-old male patient, applied to the emergency service with abdominal pain. On physical examination, there was a left pelvic mass, and left inguinal and left costovertebral sensitivity. In microscopic evaulation of urine, erythrocytes were abundant and the leukocyte value was 3/hpf. Abdominal-pelvic ultrasonography and computed tomography examinations were performed and the patient was diagnosed with an ectopic pelvic kidney and a left ureteral stone. Ureteral stones resulting from an ectopic pelvic kidney are not common. In patients who have applied to the emergency service with abdominal pain, pelvic mass and with no accompanying pathology, a ureteral stone as a result of an ectopic pelvic kidney may be considered as not requiring treatment
References
- Walsh PC, Gittes RF, Perlmutter AD, Stamey TA: Anomalies of the Upper Urinary Tract. Campbell’s Urology. 5th ed. Philedephia: W.B Saunders Company; 1986.p.1665-741.
- Hiroaka M. Medical management of congenital anomalies of the kid- ney and urinary tract. Pediatr Int 2003; 45: 624-33. [Crossref]
- Cinman NM, Okeke Z, Smith AD. Pelvik kidney associated diseases and treatment. J Endourol 2007; 21: 836-42. [Crossref]
- Coplen DE. Developmental and positional anomalies of the kidney. In: Pediatric Surgery, Ashcraft KW, Murphy JP, Sharp RJ, Sigalet DL, Snyder CL, Eds. 4th ed. Philadelphia: WB Saunders Company; 2000.p.681-9.
- Guarino N, Tadini B, Camardi P, Silvestro L, Lace R, Bianchi M. The in- cidence of associated urological abnormalities in children with renal ectopia. J Urol 2004; 172: 1757-9. [Crossref]
- Menon M, Resnick MI. Urinary lithiasis: Etiology, diagnosis and medi- cal management. In Walsh, Retik, Vaughan and Wein Editor. Campbell’s Urology. 8th ed. Philadelphia: WB Saunders; 2002.p.3229-306.
- Fleischer AC. Pelvik Kitlelerin Transabdominal ve/veya Transvaginal sonografi ile değerlendirilmesi, In: Fleischer AC, Manning FA, Jeanty P, Romero R Eds. Obstetrik ve Jinekolojide Sonografi Prensipler ve Klinik Uygulamalar, Çev. Edit: Yüksel A, İstanbul: Ulusal Tıp Kitabevi;1996.p.767.
- Öner A. I.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Üriner Sistem Taş Hastalığı. Sempozyum Dizisi. No:68 2009.p.19-40.
- Goel R, Yadav R, Gupta NP, Aron M. Laparoscopic assisted percutaneous nephrolithotomy (PCNL) in ectopic kidneys: Two different techniques. Int Urol Nephrol 2006; 38: 75-8. [Crossref]
Details
| Other ID | JA78TM75MP |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 1, 2013 |
| Submission Date | April 1, 2013 |
| Published in Issue | Year 2013 Volume: 4 Issue: 2 |