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Renal Malrotation

Kidney Malrotation


Presentation

  • Presentation Young boy presenting with features of right pyeronephritis (right loin pain, fevers. Urine cultures were negative. A right renal mass was suspected on initial ultrasound (not shown).[radiopaedia.org]
  • Presents comprehensive coverage in a short, readable, and succinct format so that the material is easy to locate and disseminate.[books.google.com]
  • Elsevier Health Sciences , ٣١‏/٠١‏/٢٠١٤ - 992 من الصفحات Acclaimed for its unsurpassed readability and manageable scope, Ashcraft’s Pediatric Surgery presents authoritative, practical guidance on treating the entire range of general surgical and urological[books.google.com]
  • Two vena cavae, one on each side of the aorta, are present below the level of the renal veins. 8 Several imaging techniques used in the evaluation and differentiation of pelvic cystic masses include excretory urography, ultrasound,CT and magnetic resonance[appliedradiology.com]
  • However, the anatomic derangements may result in atypical presentations of common intra-abdominal pathology. 2 It is vital that surgeons are aware of the anatomical features of malrotation, as undiagnosed cases may occasionally present at laparotomy.[casereports.bmj.com]
Enuresis
  • الصفحة 365 - The genetics of enuresis. In: Kolvin I, MacKeith RC, Meadow SR (eds): Bladder control and enuresis. ‏[books.google.com]
  • Others include dysuria, urinary frequency, hematuria, urinary tract infections, infertility, hemospermia and, rarely, enuresis.[appliedradiology.com]
Splenectomy
  • Hone and expand your surgical skills by watching videos of minimally invasive procedures for recto urethral fistula, biliary atresia, laparoscopic splenectomy, uterine horn, and more.[books.google.com]
Pelvic Mass
  • The mesonephric duct differentiates into the appendix of the epididymis, paradidymis, vas deferens, ejaculatory duct, seminal vesicles and hemitrigone. 6 The differential diagnosis of cystic pelvic masses in the male includes müllerian duct and ejaculatory[appliedradiology.com]
Hemospermia
  • Others include dysuria, urinary frequency, hematuria, urinary tract infections, infertility, hemospermia and, rarely, enuresis.[appliedradiology.com]

Workup

  • Sometimes, ascertaining the diagnosis on the basis of IVU alone is difficult, and further workup—using CT scanning, MRI, or scintigraphy—may be necessary.[emedicine.medscape.com]

Treatment

  • TREATMENT: Angiography showed a pseudoaneurysm arising from one of two right renal arteries, which in turn arose from the false lumen of the aortic dissection. The supplying artery was successfully embolised.[ncbi.nlm.nih.gov]
  • Focus on evidence-based treatments and outcomes to apply today’s best practices.[books.google.com]
  • Czaplicki M, Krzeski T, Borkowski A, et al: Surgical treatment of stenosis of the pyeloureteral junction in pelvic kidney. Eur Urol 1984;10:377–379. Donahoe PK, Hendren WH: Pelvic Kidney in infants and children: Experience with 16 cases.[karger.com]
  • […] ruled out as it significantly impair successful treatment. [4] For stones that are less than 1.5 cm, ureteroscopy and shockwave lithotripsy can be first utilized. [4] For stones larger than 1.5 cm or when previous treatment has failed, the stones can[en.wikipedia.org]
  • […] of duodenal obstruction duodenal atresia, duodenal web or stenosis, annular pancreas, malrotation of the bowel with a midgut volvulus , or Ladd's bands Fetal ultrasound may show polyhydramnios Differential Pyloric stenosis, tracheoesophageal fistula Treatment[step2.medbullets.com]

Prognosis

  • , Prevention, and Complications Prognosis full recovery is expected after surgical correction Prevention no preventive measures are available at this time Complications without treatment, condition is lethal Please rate topic.[step2.medbullets.com]
  • Prognosis The overall prognosis is good. Patients are usually shorter than average (even with growth hormone therapy) and almost all are infertile (although assisted fertility may be successful).[patient.info]
  • In recent years, with the advent of target therapies, the prognosis of patients with metastatic RCC has improved ( 10 ).[frontiersin.org]
  • Cleveland Clinic, including causes, signs, symptoms, diagnosis, treatment, and prognosis. This paper talks about cases of adults. SPECTCT Scan InsideRadiology Situs inversus abdominus and malrotation in an adult with.[light-factor.cf]
  • A few large series on primary leiomyosarcoma of the kidney with an analysis of the prognosis have been reported.[bmcresnotes.biomedcentral.com]

Etiology

  • Gleason PE, Kelalis PP, Husmann DA, Kramer SA: Hydronephrosis in renal ectopia: Incidence, etiology and significance. J Urol 1994;151:1660–1661.[karger.com]
  • M F Right (67%) ETIOLOGY / PATHOPHYSIOLOGY Due to abnormal ascent of the kidneys, resulting in abnormalities in renal position, rotation and fusion. Renal ectopic by definition refers to abnormal position of the kidneys.[fetalultrasound.com]
  • A review of the literature on extrarenal calyces was presented and etiology was discussed. We emphasized the necessity of further investigation in surgical treatments of these patients aside from ne-phrectomy. Copyright 1978, Igaku-Shoin Ltd.[webview.isho.jp]
  • Introduction Congenital failure of the duodenal lumen to completely recanalize Etiology unknown but thought to occur during weeks 8-10 of development Results in stenosis of the duodenal passageway between the stomach and intestinal tract leads to gastric[step2.medbullets.com]
  • Duodenocolic fistulas are classified into primary and secondary groups; primary fistulas can be due to infectious etiology, Crohn’s disease, peptic ulcer disease, or active malignancies without any prior surgeries. 1,2 Secondary fistulas can develop as[acgcasereports.gi.org]

Epidemiology

  • […] during weeks 8-10 of development Results in stenosis of the duodenal passageway between the stomach and intestinal tract leads to gastric outlet syndrome Associated with Down syndrome (20-30% of DS cases) and other birth defects as with biliary atresia Epidemiology[step2.medbullets.com]
  • Abbreviations TS: Turner syndrome RCC: Renal cell carcinoma SEER: Surveillance, epidemiology, and end results OS: Overall survival.[bmcresnotes.biomedcentral.com]
  • Epidemiology, clinical features, and diagnosis of mechanical small bowel obstruction in adults. Of malrotation and intestinal volvulus. Malrotation is a birth defect that occurs during the 10th week of pregnancy.[light-factor.cf]
  • Epidemiology [ 2 ] Turner syndrome occurs in approximately 1 in every 2,000 live female births. The condition is much more common in utero and it has been estimated that 1-2% of all conceptuses are affected, of whom only 1% will survive to term.[patient.info]
  • […] imaging before any abdominal surgery as the vascular supply to the abnormal kidney can be highly variable between patients. [1] Additionally, the horseshoe kidneys can have a close association with colon which can increase risk of bowel injury. [1] Epidemiology[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • M F Right (67%) ETIOLOGY / PATHOPHYSIOLOGY Due to abnormal ascent of the kidneys, resulting in abnormalities in renal position, rotation and fusion. Renal ectopic by definition refers to abnormal position of the kidneys.[fetalultrasound.com]
  • CrossRef PubMed Google Scholar Koff, S.A. (1990) Pathophysiology of ureteropelvic junction obstructions. Urol. Clin. North. Am. 17, 263–272.[link.springer.com]
  • Pathophysiology [ edit ] Kidneys are normally located in the retroperitoneal space between the T12 and L3 vertebrae after ascending from the pelvis during development to rest underneath the adrenal glands . [1] In patients with this condition, the horseshoe[en.wikipedia.org]
  • Eight were male, 89% had left sided UPJ obstruction, and 78% had crossing vessel pathophysiology. Eight patients had a primary UPJ obstruction, while one patient’s obstruction was thought to be secondary to stone disease (Table-1).[brazjurol.com.br]

Prevention

  • Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. ‏[books.google.com]
  • , and Complications Prognosis full recovery is expected after surgical correction Prevention no preventive measures are available at this time Complications without treatment, condition is lethal Please rate topic.[step2.medbullets.com]
  • Antibiotic prophylaxis to prevent subacute bacterial endocarditis is now less likely to be necessary (see the separate article on Prevention of Endocarditis ). Orthopaedics: regular review is usually unnecessary.[patient.info]
  • Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. ‎ Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. ‎[books.google.es]
  • A volvulus is a disorder that causes an obstruction in the intestine, preventing food from being digested normally. The blood supply to the twisted part of the intestine can also be cut off, leading to the death of that segment of the intestine.[my.clevelandclinic.org]

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