Hydronéphrose Géante sur Ectopie Rénale Droite Croisée Associée à une Dystopie Rénale Gauche : À Propos d’un Cas
Giant Hydronephrosis on Crossed Right Renal Ectopia Associated with Left Renal Dystopia: A Case Report
DOI :
https://doi.org/10.5281/hra.v3i1.6299Mots-clés :
ectopie rénale, hydronéphrose, dystopie rénaleRésumé
RÉSUMÉ
L’association d’une hydronéphrose géante sur ectopie rénale pelvienne et d’une dystopie sur est exceptionnelle. Nous décrivons, le cas d’un adolescent de 14 ans sans antécédent pathologique particulier découvert à l’occasion de douleur abdominale chronique. Le patient a bénéficié d’une néphrectomie. L’exploration chirurgicale a montré une hydronéphrose avec une rein occupant quasiment toute la cavité abdominale dont le contenu urinaire était de 2 litres après néphrotomie et aspiration, un double pédicule vasculaire provenant des artères iliaques et dont l’un cravatait l’uretère, expliquant l’hydronéphrose. Les suites opératoires étaient simples, et la sortie du patient faite à J7.
ABSTRACT
The association of giant hydronephrosis with pelvic renal ectopia and dystopia is exceptional. We describe the case of a 14-year-old adolescent with no significant medical history, discovered due to chronic abdominal pain. The patient underwent a nephrectomy. Surgical exploration revealed hydronephrosis with a kidney occupying almost the entire abdominal cavity, containing 2 liters of urine after nephrotomy and aspiration. A double vascular pedicle originating from the iliac arteries, one of which was constricting the ureter, was found, explaining the hydronephrosis. The postoperative course was uncomplicated, and the patient was discharged on day 7.
Références
Kalfa N, Veyrac C, Dubois C et al. Malformations congénitales du rein. Encycl Med Chir Urologie 2009 ; Fasc 18-125-A-10 : 1-20.
Hertz M, Rubinstein Z.J, Shahin N et al. Crossed renal ectopia: clinical and radiological findings in 22 cases. Clin. Radiol. 1977 ; 28 : 339-344.
Glodny G B, Petersen J, Hofmann K J et al. Kidney fusion anomalies revisited: clinical and radiological analysis of 209 cases of crossed fused ectopia and horseshoe kidney. BJU International. 2008 ; 103 : 224–235.
Sarr A, Sangare T, Ondo CZ et al. Reins Pelviens Pathologiques. African Urology. 2024; 4:44-48
Elbouti A, Rafai M, Jidane S et al. Ectopie rénale croisée de découverte fortuite chez l’adulte : à propos d'un cas. PanAfrican med J. 2019 ; 33 :178.
Yassine R. Hydronéphrose géante sur rein ectopique pelvien révélée par un syndrome occlusif: Cas rare. African Journal of Urology. 2014 ; 20 : 211–214.
Ahmad A, Rabenandrasana HA, Rabenantoandro R et al. Ectopie rénale chez l’adulte : A propos de 2 observations. Afr J of Urol. 2003 ; 9(3) : 143-146.
Benchekroun A, Kasmaoui EH, Jira H et al. Le rein pelvien pathologique. À propos de 11 cas. Ann Urol. 2002 ; 36 : 231-5
Zahoi DE, Miclaus G, Alexa A et al. Ectopic kidney with malrotation and bilateral multiple arteries diagnosed using CT angiography. Romanian J of morphology and embryology. 2010 ; 51(3) : 589-592.
Chiang PH, Chen MT, Chou YH et al. Giant hydronephrosis: report of 4 cases with review of the literature. J Formos Med Assoc 1990 ; 89 : 811–7.
Aziz MA, Hossain A Z, Banu T. In hydronephrosis less than 10% kidney function is not an indication for nephrectomy in children. Eur J Pediatr Surg. 2002 ; 12 :304-7
Nerli RB, Reddy Mn, Hiremath MB et al. Surgical outcomes of laparoscopic dismembered pyeloplasty in children with giant hydronephrosis secondary to ureteropelvic junction obstruction. J Pediatr Urol 2012 ;8 (Aug (4)) :401–4
Téléchargements
Publié-e
Comment citer
Numéro
Rubrique
Licence
(c) Tous droits réservés Mbethe D, Tchoba S, Nguyen Akendengue L, Mangono Q, Mougougou A 2024
Cette œuvre est sous licence Creative Commons Attribution - Pas d'Utilisation Commerciale - Pas de Modification 4.0 International.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License CC BY-NC-ND 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
