Fatma MUTLUBAŞ, S. MİR, E. SEVİNÇ, Ö. TÜRKER

Unilateral double kidney with contralateral supernumerary kidney which found incidentally

Supernumerary böbrek, literatürde yaklasık 70 vakada bildirilmis nadir üriner sistem anomalilerindendir. Supernumerary böbrekler genellikle asemptomatik olup basta genito-üriner sistemi ilgilendiren anomalilerle birliktelik gösterebilirler. Bronkopnömoni nedeniyle hospitalize edilmis 6 yasında kız olguda, özgeçmisindeki tekrarlayan idrar yolu enfeksiyonlarından (İYE) solda ‘supernumerary böbrek’ ve kontalateral ‘double böbrek’ anomalilierine ulasılmıstır. Ultrasonografi (USG), intravenöz pyelografi ve sintigrafi bulguları sol tarafta ekstra bir böbreği ve kontralateral double böbreği desteklemistir. Özellikle İYE’den sonra yapılması gereken USG bu tür genitoüriner sistem anomalilerinin tanısında oldukça değerlidir. Bu yazıda, son derece nadir görülen bu anomali literatür esliğinde tartısılmak istenmistir.

Anahtar Kelimeler:

Doğumsal anormallikler, Bronkopnömoni, Çocuk, okul öncesi, Kadın, Böbrek, Ultrasonografi, Ürogenital anomaliler, Ürografi, Rastlantısal bulgular

Rastlantısal olarak saptanmıs unılateral double böbrek ile kontralateral supernumerary böbrek

A supernumerary kidney is one of the rarest congenital anomalies of urinary tract, approximately 70 cases have been reported. Supernumerary kidneys may be asymptomatic and associated with genital-urinary tract anomalies. A 6-year old girl was found to have supernumerary kidney with contralateral double kidney from recurrent urinary tract infections (UTI) in her past history while she had hospitalized for bronchopneumonia. Ultrasonography (USG), pyelography and scintigraphy had demonstrated an extra kidney in the left side with contralateral double kidney. USG is the most valuable method of early diagnosis this anomalie of urinary tract, especially after UTI. Herein, this rare urinary anomaly was discussed with literature.

Keywords:

Congenital Abnormalities, Bronchopneumonia, Child, Preschool, Female, Kidney, Ultrasonography, Urogenital Abnormalities, Urography, Incidental Findings,

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