Fused pelvic (cake) kidneyの1例

概要

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"Fused pelvic kidney" Is considered to be a very rate anomaly. Recently we had an opportunity to examine a fused pelvic cage kidney. A Japanese female clerk aged 33 was admitted to the Department of Surgery, Toyama Civil Hospital with the compliant of intermittent lower abdominal pain of one years duration. The surgeons diagnosed the case as the abdominal tumor, performed a laparotomy, and found out the fused renal mass with two separate and distinct ureters in the pelvic cavity. After the operation, we made urological examinations such as intracenous pyelography, retrograde phylograpy, tomograpjy combined pneumoretroperitoneum, aortography and renal scinotiscan, which revealed a typical fused pelvic cake kidney slightly located to the right side. There have been many opinions concerning the forms and locations of renal anomlies. For example, Tohukuji stated that there was much confusion between the "fused pelvic kidney" and the so-called "crossed renal ectopia with fusion" as war was we can collect in the foreign literature, there are less than twenty reported cases. In Japan, there are only four cases including ours.
社団法人日本泌尿器科学会の論文