Resumen

DURAN ALVAREZ, Sandalio; GUERRA RODRIGUEZ, Marlen; DIAZ ZAYAS, Niurka  y  PEREZ VALDES, Marilyn. Crossed renal ectopia with fusion, vesicoureteral reflux and dysfunctional ectopic kidney:: A case report. Rev Cubana Pediatr [online]. 2010, vol.82, n.1. ISSN 0034-7531.

This is the case of a child whose maternal-fetus ultrasound (US) at twenty weeks pregnancy not detected alterations, but at the 23, 6 weeks it showed the presence of a right pelvic kidney. At twenty two days the renal US showed a right kidney with a normal size and location as well as a moderate pelvic dilation and immediately beneath its lower pole a hydronephrosis big sac in correspondence with a crossed renal ectopia with severe hydronephrosis. His father had right vesiculorectal reflux disappeared spontaneously. Despite the prophylaxis with Cephalexin there was a urinary infection adequately treated with Cephtriaxone. Ultrasonography and radioisotope researches demonstrated the presence of a congenital anomaly due to the no-obstructive pelvic dilation or right kidney, crossed renal ectopia with fusion of dysfunctional left kidney and II degree bilateral vesicoureteral reflux from right kidney and of V degree from the crossed ectopic left kidney. At eleven months life he undergoes a lumbotomy and the hydronephrosis big sac was fused with lower pole of the right kidney. This big sac was resected and a low ureter ligature was carried out.

Palabras clave : Crossed-renal ectopia; hydronephrosis; vesicoureteral reflux; dysfunctional kidney.

        · resumen en Español     · texto en Español     · Español ( pdf )