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Case Report Volume 4 Issue 1
Cake kidney-complete crossed fused ectopia
Lokesh Rana,1
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Dinesh Sood,1 Pooja Gurnal,1 Manjuswamy HR1
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1Department of Radio-diagnosis, DRPGMC, India
2Department of Anaesthesia, DRPGMC, India
Correspondence: Lokesh Rana, Assistant Proffesor, Department of Radio-diagnosis, Dr RPGMC, Kangra at Tanda, Himachal Pradesh, India
Received: December 12, 2018 | Published: January 28, 2019
Citation: Rana L, Sood D, Gurnal P, et al. Cake kidney-complete crossed fused ectopia. MOJ Biol Med. 2019;4(1):16?17. DOI: 10.15406/mojbm.2019.04.00106
Abstract
Cake kidney or complete crossed fused renal ectopia refers to complete fusion of both kidneys and remain on the same side of the midline. It is due to failure of normal renal ascent during embryogenesis with fusion of kidneys within the renal pelvis.1,2 We present a case of 18years old male with heaviness in right lumbar region and CECT was done which showed complete crossed renal ectopia.3
Keywords: Cake kidney, crossed fused, embryogenesi
Case report
We present a case of an 18year old male presented with heaviness right lumbar region for 1year. The NCCT and CECT images shows complete crossed fused renal ectopia on right side with central hyperdensity in the medulla with ureters are on seen draining on same side of UB (Figure 1).
Figure 1 A 18 year presented with heaviness right lumbar region NCCT and CECT images shows complete crossed fused renal ectopia on right side with central hyperdensity in the medulla with ureters are on seen draining on same side of UB.
Discussion
Cake kidney or complete crossed fused renal ectopia refers to complete fusion of both kidneys and remain on the same side of the midline. It is due to failure of normal renal ascent during embryogenesis with fusion of kidneys within the renal pelvis.1–4
Clinical presentation
Many a times this entity is asymptomatic or may present with obstruction, urolithiasis, reflux or infection.5
Key Imaging diagnostic clues
Conclusion
Crossed fused renal ectopia is asymptomatic unless complicated by infection, reflux or urolithiasis. Computed tomography is important in diagnosis, defining its subtype and surgical planning if causing complications.
Acknowledgments
None.
Conflicts of interest
Author declares there is no conflict of interest towards this article.
References
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- Kawashima A, Vrtiska TJ, LeRoy AJ, et al. CT Urography. Radiographics. 2004;24:S35–S58.
- Noroozian M, Cohan RH, Caoili EM, et al. Multislice CT urography: state of the art. Br J Radiol. 2004;77:S74–S86.
- Beer AJ, Dobritz M, Zantl N, et al. Comparison of 16-MDCT and MRI for characterization of kidney lesions. AJR Am J Roentgenol. 2006;186(6):1639–1650.
- Nikken JJ, Krestin GP. MRI of the kidney: state of the art. Eur Radiol. 2007;17(11):2780–2793.
©2019 Rana, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.