Pancake kidney in a geriatric patient: radiologic and scintigraphic findings
Altmışbeş yaşındaki erkek olguda insidental olarak saptanan pankek böbrek anomalisini görüntüleme bulguları ile sunmayı ve klinik önemini tartışmayı amaçladık. Pelvik füzyon anomalisi gösteren böbrek veya kek böbrek olarak da adlandırılan ‘pankek böbrek’ nadir görülen bir konjenital renal füzyon anomalisidir. Arada septum olmaksızın dual parankim sistemine sahip lobüle konturlu, pelvik yerleşimli renal kitle olarak karakterizedir. Ani idrar yapma isteği ve idrara sıkışma yakınmaları olan hastanın radyolojik ve sintigrafik bulguları pelvik pankek böbrek ile uyumlu bulundu. Üriner sistem anomalileri sıklıkla diğer organ ve sistem malformasyonlarıyla birliktelik göstermesine rağmen, olgumuzda eşlik eden başka anomali saptanamadı.
Geriatrik olguda pankek böbrek: Radyolojik ve sintigrafik bulgular
Our aim was to present a case of incidentally detected pelvic pancake kidney anomaly with imaging findings in a 65-years-old male patient and to discuss its clinical significance. Pancake kidney, also called pelvic fused kidney, lump or cake kidney, is a rare type of congenital renal fusion anomaly. It is characterized by the presence of a lobulated pelvic renal mass which has a dual parenchymatous system without an intervening septum. Radiologic and scintigraphic findings of the patient having symptoms of urgency were consistent with a pelvic pancake kidney. Although urinary system anomalies often coexist with malformations of other organs and systems, no associated anomalies could be detected in our case.
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- 1- Shoemaker R, Braasch WF. Fused kidneys. J Urol 1939;41:1-7
- 2- Eisendrath DN, Phifer FM, Culver HB. Horseshoe kidney. Ann Surg 1925;82(5):735-64
- 3- Abeshouse BS, Bhisitkul I. Crossed renal ectopia with and without fusion. Urol Int 1959;9:63-91
- 4- Caldamone AA, Rabinowitz R. Crossed fused renal ectopia, orthotopic multicys-tic dysplasia and vaginal agenesis. J Urol 1981;126(l):105-7
- 5- Caine M. Crossed renal ectopia without fusion. Br J Urol 1956;28(3):257-8
- 6- Looney WW, Dodd DL. An ectopic (pelvic) completely fused (cake) kidney associated with various anomalies of the abdominal viscera. Ann Surg 1926;84(4):522-4
- 7- Kelalis PP, Malek RS, Segura JW. Observations on renal ectopia and fusion in children. J Urol 1973;110(5):588-92
- 8- Berg OC, Kerns WM. Solitary pelvic kidney. A case report. J Urol 1949;62(3):275-7
- 9- Kron SD, Meranze DR. Completely fused pelvic kidney. J Urol 1949;62(3):278-85
- 10- Srivastava RN, Singh M, Ghai OP, et al. Complete renal fusion ("cake'V'lump" kidney). Br J Urol 1971;43(4):391-4
- 11-Lange AP. Fused pelvic kidney combined with absence of the vagina. J Urol 1979; 122( 1):92-3
- 12- Brueziere J, Fretin J. A new case of pyelic fusion. Eur Urol 1980;6(4):249-50
- 13- Brock JW 3rd, Braren V, Philips K, Win-field AC. Caudal regression with cake kidney and a single ureter: a case report. J Urol 1983;130(3):535-6
- 14- Eze AR, White JV, Pathak AS, et al. "Pancake kidney": a renal anomaly complicating aortic reconstruction. Ann Vase Surg 1998;12(3):278-81
- 15- Brown OW, Dosick SM, Blakemore WS. Abdominal aortic aneurysm and horseshoe kidney. A different perspective. Arch Surg 1979;114(7):860-1
- Başlangıç: 1947
- Yayıncı: Erkan Mor
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