期刊
BMC UROLOGY
卷 22, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s12894-022-01137-x
关键词
Situs inversus; Ectopic kidney; Nephrectomy; Stones; Case report
This article reports a case associated with situs inversus totalis and ectopic kidney. The patient underwent left nephrectomy and had a satisfactory and stable condition.
Background Situs inversus totalis is a very rare congenital anatomical variation, in which all thoracic and abdominal organs are right-left inverted. This condition is associated with an increased risk of organ malformations including ectopic kidney, which is a very rare combination. Case presentation A 56-year-old male presented with colicky left iliac pain associated with nausea, vomiting, and irritative lower urinary symptoms. The patient has a medical history of recurrent lower urinary infections and a family history of situs inversus totalis. Radiological images demonstrated dextrocardia, situs inversus totalis of all the abdominal organs, and an ectopic pelvic kidney on the left side, with 4 stones inside it. Left nephrectomy was performed due to extensive renal damage. At discharge and during follow-up, the patient's condition was satisfactory and stable. Conclusions The ectopic kidney may present diagnostic and therapeutic challenges when associated with situs inversus.
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