Volume : IX, Issue : IV, April - 2019

Problem of Fused Kidneys – Diagnosed with MDCT: our single center experience

Vaidehi A Patel, Harsh C Sutariya, Kajal N Patel

Abstract :

Introduction: Multi–detector CT scan (MDCT) can precisely detect the presence of fusion anomaly and its associations. Our retrospective cross sectional study aims to analyze the morphological appearances of renal fusion anomalies; assessment of frequency, clinical presentation and clinical significance of associated conditions with MDCT to provide valuable information for proper management and aid in surgery; if indicated. Methods and Material: Out 3040 patients who underwent CT abdomen at our centre from 1st January 2014 to 31th March 2017; about 56 of them had renal fusion anomalies. Type of Fusion anomaly was described along with its anatomy and other associated abnormalities depending upon CT scan findings. Possible complications and management were discussed and literature was reviewed. Results: Out of these 56 patients; 40 patients showed horse shoe kidney and 14 patients showed crossed renal ectopia. However one patient showed crossed ectopia without fusion and two pan cake kidneys were noted. About 42 patients showed various complications like calculus, hydronephrosis and pelvi–ureteric junction obstruction (PUJO). Remaining 7 patients showed associated abnormalities like small contracted kidney with ureterocele, ureteric stricture, renal cysts, renal mass and bladder mass lesions. Two renal masses were seen in Horse shoe kidney and pan cake kidney each. Bladder mass lesion was seen in horse shoe kidney patient. Conclusions: MDCT urography provides better evaluation of such anomalies in a single examination. Three–dimensional reformatted images can provide particularly good Delineation of such anomaly along with its vascular supply information; which is very important to the surgeon.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

PROBLEM OF FUSED KIDNEYS‾DIAGNOSED WITH MDCT: OUR SINGLE CENTER EXPERIENCE, Vaidehi A Patel, Harsh C Sutariya, Kajal N Patel INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-4 | April-2019

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