Title: Ureteric Fusion – An Unusual Presentation of Crossed Fused Renal Ectopia

Authors: Shivi Jain, Prashant Nath Gupta, Abhishek Mane, Ashish Verma, Ram C Shukala, Arvind Srivastava

 DOI:  http://dx.doi.org/10.18535/jmscr/v3i9.54

Abstract

Background: Crossed fused renal ectopia is a rare congenital anomaly where the kidneys are fused and located on the same side of the midline. The ureter of the ectopic kidney crosses the midline and enters the urinary bladder on the opposite side. The purpose of this case report is to show the rare but important variation of this anomaly and to highlight its embryological and clinical significance.

Case: A 58-year-old female presented with upper abdominal pain. CECT abdomen showed choledocholithiasis with an incidental presence of right-sided crossed fused renal ectopia with ureteric fusion.

Conclusion: Careful assessment of an incidental finding on imaging is also very important for overall prognosis besides searching for the actual etiology behind the clinical manifestations. Any congenital anomaly or normal variant is important to document. This prepares both the patient and the treating clinician for any future endeavour/eventuality.

Keywords:  renal ectopia; crossed fused renal ectopia; ureteric fusion

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Corresponding Author

Dr Shivi Jain

G-11, Lal Bahadur Shastri Nagar Colony, Karaundi, Varanasi-221005

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