PDF(Pubmed)
Abstract：
UNASSIGNED: Renal ectopia, a rare congenital anomaly, can occur in various body regions and may be associated with other abnormalities. It is often asymptomatic, commonly found incidentally, as in our 70-year-old patient during appendicitis exploration. This case highlights the importance of recognizing renal ectopia and associated anomalies, such as vascular abnormalities and renal malrotation, which may predispose patients to potential complications and require vigilant monitoring for urinary tract infections and lithiasis events, as well as potential challenges during laparoscopic surgical procedures, as in our appendectomy case.
METHODS: A 70-year-old female presented with right iliac fossa pain and elevated inflammatory markers. Abdominopelvic CT scan confirmed uncomplicated appendicitis and revealed a right ectopic and malrotated kidney. Laparoscopic appendectomy was performed without complications. Postoperative recovery was uneventful, and discharge occurred one day post-procedure. A four-week follow-up was scheduled to monitor for urinary infection and stone formation, with initiation of hygienic and dietary measures.
UNASSIGNED: Renal ectopia, a congenital anomaly, frequently positions the kidneys in the pelvic region. Iliac ectopias are often confused with pelvic or abdominal ectopias. Ectopic kidneys can result in complications like vesicoureteral reflux, urinary tract infections, or kidney stones. Despite being typically left-sided, our patient presented with right-sided renal ectopia with malrotation. Despite lacking urinary symptoms, a urological consultation was advised due to the potential risk of infection or kidney stones. Surgical intervention is reserved for complication management.
CONCLUSIONS: Renal ectopia, a rare congenital anomaly, can be asymptomatic but often coincides with other renal or vascular issues. Early detection and accurate imaging are essential, emphasizing clinical vigilance and interdisciplinary collaboration for better patient care.
METHODS: A 70-year-old female presented with right iliac fossa pain and elevated inflammatory markers. Abdominopelvic CT scan confirmed uncomplicated appendicitis and revealed a right ectopic and malrotated kidney. Laparoscopic appendectomy was performed without complications. Postoperative recovery was uneventful, and discharge occurred one day post-procedure. A four-week follow-up was scheduled to monitor for urinary infection and stone formation, with initiation of hygienic and dietary measures.
UNASSIGNED: Renal ectopia, a congenital anomaly, frequently positions the kidneys in the pelvic region. Iliac ectopias are often confused with pelvic or abdominal ectopias. Ectopic kidneys can result in complications like vesicoureteral reflux, urinary tract infections, or kidney stones. Despite being typically left-sided, our patient presented with right-sided renal ectopia with malrotation. Despite lacking urinary symptoms, a urological consultation was advised due to the potential risk of infection or kidney stones. Surgical intervention is reserved for complication management.
CONCLUSIONS: Renal ectopia, a rare congenital anomaly, can be asymptomatic but often coincides with other renal or vascular issues. Early detection and accurate imaging are essential, emphasizing clinical vigilance and interdisciplinary collaboration for better patient care.
摘要：
■肾异位，一种罕见的先天性异常,可能发生在不同的身体区域，并可能与其他异常有关。它通常是无症状的，常见的偶然发现，就像我们70岁的病人在阑尾炎探查时一样。该病例强调了认识肾异位和相关异常的重要性，如血管异常和肾脏旋转不良，这可能会使患者容易发生潜在的并发症，并需要警惕监测尿路感染和结石事件，以及腹腔镜手术期间的潜在挑战，就像我们的阑尾切除术一样.
方法：一名70岁女性患者出现右髂窝疼痛和炎症标志物升高。腹盆腔CT扫描证实无并发症阑尾炎，并显示正确的异位和旋转不良的肾脏。腹腔镜阑尾切除术无并发症。术后恢复顺利，出院发生在术后一天。计划进行为期四周的随访，以监测尿路感染和结石形成，开始卫生和饮食措施。
■肾异位，先天性异常,经常将肾脏定位在骨盆区域。Ilic异位常与盆腔或腹部异位混淆。异位肾脏会导致并发症，如膀胱输尿管反流，尿路感染,或者肾结石.尽管通常是左边的，我们的患者出现右侧肾脏异位伴旋转不良。尽管没有泌尿症状,由于存在感染或肾结石的潜在风险，建议进行泌尿外科咨询。手术干预保留用于并发症管理。
结论：肾异位，一种罕见的先天性异常,可以无症状，但通常与其他肾脏或血管问题一致。早期检测和准确成像至关重要，强调临床警惕和跨学科合作，以改善患者护理。
方法：一名70岁女性患者出现右髂窝疼痛和炎症标志物升高。腹盆腔CT扫描证实无并发症阑尾炎，并显示正确的异位和旋转不良的肾脏。腹腔镜阑尾切除术无并发症。术后恢复顺利，出院发生在术后一天。计划进行为期四周的随访，以监测尿路感染和结石形成，开始卫生和饮食措施。
■肾异位，先天性异常,经常将肾脏定位在骨盆区域。Ilic异位常与盆腔或腹部异位混淆。异位肾脏会导致并发症，如膀胱输尿管反流，尿路感染,或者肾结石.尽管通常是左边的，我们的患者出现右侧肾脏异位伴旋转不良。尽管没有泌尿症状,由于存在感染或肾结石的潜在风险，建议进行泌尿外科咨询。手术干预保留用于并发症管理。
结论：肾异位，一种罕见的先天性异常,可以无症状，但通常与其他肾脏或血管问题一致。早期检测和准确成像至关重要，强调临床警惕和跨学科合作，以改善患者护理。
