Location
Moultrie, GA
Start Date
8-5-2024 1:00 PM
End Date
8-5-2024 4:00 PM
Description
Introduction: Typically during fetal development, the kidneys begin developing in the pelvic region and then ascend up into the abdomen. When this developmental process fails, the kidney may remain in the pelvis, in line or below the aortic bifurcation, forming a pelvic kidney. Pelvic kidneys are most commonly found to be malrotated, in an orientation where the hilum faces anteriorly instead of medially.
Methods: This is a case presentation of a pelvic kidney as observed in an 85-year old Caucasian male as well as a literature review on diagnosis and implications on renal health and life. Morphological analysis of the kidney in this condition is presented. Using available data in the literature we attempted to make correlations between the observable condition in our cadaver that could be connected to the pelvic kidney, which included an inguinal fatty hernia, atherosclerosis and several coronary bypasses.
Results: In cases of pelvic kidneys without any complications, interventions were not required despite cases of reduced function when compared to the contralateral kidney that developed properly. Many times in order to diagnose a pelvic kidney various imaging modalities are used such as ultrasound, MRI, intravenous urogram, and CT scans. However, the most commonly used diagnostic tool is ultrasound.
Discussion: In cases of complications such as kidney stones, a pelvic kidney can result in difficulties in performing invasive surgery due to the increased risk of damaging nearby anatomy and vasculature. In cases of known pelvic kidneys, it is discouraged to perform major surgery if the condition can be treated conservatively. Due to the nature of our case report it is not possible to confirm correlations or causations but we believe it is important to add to the literature surrounding pelvic kidneys as they are usually thought to be asymptomatic. Abnormalities such as hydronephrosis, dysplasia, and hypoplasia are commonly associated with pelvic kidneys and rarely lead to adverse prognosis. In the case of the contralateral kidney, 80% present with vesicoureteral reflux which typically resolves with time. Despite the asymptomatic nature and usually good prognosis associated with pelvic kidneys, it is still critical information when it comes to physician treatment so this abstract seeks to provide best practices and most likely implications, as well as adding possibly new implications to the discussion.
Embargo Period
7-1-2024
Included in
A case report of a fused pelvic kidney in an 85-year old male Caucasian: analysis and discussions on diagnosis and implications
Moultrie, GA
Introduction: Typically during fetal development, the kidneys begin developing in the pelvic region and then ascend up into the abdomen. When this developmental process fails, the kidney may remain in the pelvis, in line or below the aortic bifurcation, forming a pelvic kidney. Pelvic kidneys are most commonly found to be malrotated, in an orientation where the hilum faces anteriorly instead of medially.
Methods: This is a case presentation of a pelvic kidney as observed in an 85-year old Caucasian male as well as a literature review on diagnosis and implications on renal health and life. Morphological analysis of the kidney in this condition is presented. Using available data in the literature we attempted to make correlations between the observable condition in our cadaver that could be connected to the pelvic kidney, which included an inguinal fatty hernia, atherosclerosis and several coronary bypasses.
Results: In cases of pelvic kidneys without any complications, interventions were not required despite cases of reduced function when compared to the contralateral kidney that developed properly. Many times in order to diagnose a pelvic kidney various imaging modalities are used such as ultrasound, MRI, intravenous urogram, and CT scans. However, the most commonly used diagnostic tool is ultrasound.
Discussion: In cases of complications such as kidney stones, a pelvic kidney can result in difficulties in performing invasive surgery due to the increased risk of damaging nearby anatomy and vasculature. In cases of known pelvic kidneys, it is discouraged to perform major surgery if the condition can be treated conservatively. Due to the nature of our case report it is not possible to confirm correlations or causations but we believe it is important to add to the literature surrounding pelvic kidneys as they are usually thought to be asymptomatic. Abnormalities such as hydronephrosis, dysplasia, and hypoplasia are commonly associated with pelvic kidneys and rarely lead to adverse prognosis. In the case of the contralateral kidney, 80% present with vesicoureteral reflux which typically resolves with time. Despite the asymptomatic nature and usually good prognosis associated with pelvic kidneys, it is still critical information when it comes to physician treatment so this abstract seeks to provide best practices and most likely implications, as well as adding possibly new implications to the discussion.
Comments
Presented by Ruhdeep Randhawa.