Search

Crossed fused ectopic kidney is a rare congenital anomaly wherein the kidneys are present on the same side due to fusion. It is a rare disease that may remain undiagnosed throughout life. Its rarity and anatomical abnormality make any intervention challenging. A 32-year-old male patient presented with symptoms of pain in the abdomen and burning micturition for a year. Serum creatinine, along with other blood tests, was normal. X-ray KUB showed renal calculi in the region of the right kidney. However, a Computed Tomography (CT) scan showed that the left kidney was malrotated and fused with the lower pole of the right kidney, suggestive of crossed fused renal ectopia. A cystoscopy and retrograde pyelography were performed, followed by open pyelolithotomy, wherein calculi were removed, and a stent was placed. Through this case report, it is suggested that adequate presurgery evaluation is necessary for patients with such malformations. [ABSTRACT FROM AUTHOR]

The anterior urethral valve (AUV) is a rare cause of obstructive uropathy in children; they are much rarer than posterior urethral valves. A 13-year-old male presented with obstructive and irritative lower urinary tract symptoms (LUTS). On urethrocystoscopy, an AUV with a diverticulum was noted in the ventral surface of the urethra. It was ablated endoscopically using the holmium laser. Postoperatively, the patient voided successfully without any immediate complications. AUV with diverticulum may occur in adolescents. Endoscopic holmium laser ablation of the valve and the diverticulum is associated with good outcome. [ABSTRACT FROM AUTHOR]

Background: Spontaneous renal hemorrhage is relatively uncommon but may be life- threatening. There are some challenges in early diagnosis due to the lack of specific presentations Case: We reported a case of A 45-year-old female presented with chief complaints of pain in right flank for 2 days. The pain was sudden in onset, severe, progressive and relieved by taking analgesics. On examination, vitals were stable. Tenderness and guarding were present in right renal angle with rest of the abdomen normal. Patient was shifted to ICU for observation and started on antibiotics, analgesics and antacids. USG Abdomen, CT Renal Angiography, MRI Abdomen were done. Diagnosis of perinephric haematoma was made. Patient was managed conservatively with close observation in view of normal vitals and was discharged in a stable condition after 12 days of uneventful stay in the hospital. She followed up twice in the OPD in a stable condition. Conclusion: We believe conservative management should be tried in cases where aetiology is not clear, failure of which should follow surgical intervention in the form of evacuation of haemorrhage. [ABSTRACT FROM AUTHOR]