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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]

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]

Congenital anomalies are not regularly seen in day-to-day practice. Crossed fused renal anomalies are even rarer. A 50-year-old female patient presented with right-sided pain in the abdomen with intermittent episodes of burning micturition. The patient was a known case of Mayer-Rokitansky-Kuster-Hauser syndrome. X-ray of the kidney, ureter, and bladder showed right-sided renal calculus. Computed tomography showed non-visualization of the left kidney in the left renal fossa but was crossed over to the right kidney with right renal pelvic calculus. A diagnosis of crossed fused kidney with calculus disease was made. Percutaneous nephrolithotomy was performed. With advancements in minimally invasive surgeries and imaging techniques, such large renal calculus in anomalous kidneys can be managed with good results., Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Asabe et al.)