Ectopic Kidney, a Challenging First Trimester Diagnosis—Case Report and Literature Review
(1) Background: Crossed fused renal ectopia is a rare migration and fusion renal anomaly, more frequently affecting males, with an incidence of between 1:2000 and 1:7500 observed at autopsy. (2) Case presentation: This paper presents the case of a 34-year-old woman, IIIG IIIP, who presented to our c...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-11-01
|
| Series: | Life |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-1729/14/11/1466 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846153164333514752 |
|---|---|
| author | Mircea-Octavian Poenaru Fernanda-Ecaterina Augustin Ionuț-Didel Vâlcea Romina-Marina Sima Mihaela Amza Oana Denisa Bălălău Liana Pleș |
| author_facet | Mircea-Octavian Poenaru Fernanda-Ecaterina Augustin Ionuț-Didel Vâlcea Romina-Marina Sima Mihaela Amza Oana Denisa Bălălău Liana Pleș |
| author_sort | Mircea-Octavian Poenaru |
| collection | DOAJ |
| description | (1) Background: Crossed fused renal ectopia is a rare migration and fusion renal anomaly, more frequently affecting males, with an incidence of between 1:2000 and 1:7500 observed at autopsy. (2) Case presentation: This paper presents the case of a 34-year-old woman, IIIG IIIP, who presented to our clinic for a first-trimester screening evaluation. The risk calculation was performed using the Fetal Medicine Foundation’s first-trimester screening software, version 2.8.1. The screening indicated a low risk for aneuploidies, but the ultrasound scan revealed an empty right renal fossa in the standard coronal section. A more detailed axial examination raised the suspicion of crossed fused renal ectopia. No other anomalies were detected. The morphological scans conducted in the second and third trimesters confirmed and upheld the diagnosis initially established in the first trimester. The fetus did not develop any potential antepartum complications. The patient gave birth via caesarean section at 36 weeks to a live female infant, weighing 3000 g, with an APGAR score of 9 at 1 min. Postnatally, the first trimester diagnosis of the renal malformation was confirmed. (3) Conclusions: Crossed fused renal ectopia, probably the rarest renal migration anomaly, can be diagnosed as early as the first trimester of pregnancy. |
| format | Article |
| id | doaj-art-8fa0a84a12a64177825ef07c5fb9c1f1 |
| institution | Kabale University |
| issn | 2075-1729 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj-art-8fa0a84a12a64177825ef07c5fb9c1f12024-11-26T18:10:32ZengMDPI AGLife2075-17292024-11-011411146610.3390/life14111466Ectopic Kidney, a Challenging First Trimester Diagnosis—Case Report and Literature ReviewMircea-Octavian Poenaru0Fernanda-Ecaterina Augustin1Ionuț-Didel Vâlcea2Romina-Marina Sima3Mihaela Amza4Oana Denisa Bălălău5Liana Pleș6Department of Obstetrics and Ginecology, University of Medicine and Pharmacy “Carol Davila”, 020021 Bucharest, RomaniaDepartment of Obstetrics and Ginecology, University of Medicine and Pharmacy “Carol Davila”, 020021 Bucharest, RomaniaBucur Maternity, St. John Hospital, 040292 Bucharest, RomaniaDepartment of Obstetrics and Ginecology, University of Medicine and Pharmacy “Carol Davila”, 020021 Bucharest, RomaniaDepartment of Obstetrics and Ginecology, University of Medicine and Pharmacy “Carol Davila”, 020021 Bucharest, RomaniaDepartment of Obstetrics and Ginecology, University of Medicine and Pharmacy “Carol Davila”, 020021 Bucharest, RomaniaDepartment of Obstetrics and Ginecology, University of Medicine and Pharmacy “Carol Davila”, 020021 Bucharest, Romania(1) Background: Crossed fused renal ectopia is a rare migration and fusion renal anomaly, more frequently affecting males, with an incidence of between 1:2000 and 1:7500 observed at autopsy. (2) Case presentation: This paper presents the case of a 34-year-old woman, IIIG IIIP, who presented to our clinic for a first-trimester screening evaluation. The risk calculation was performed using the Fetal Medicine Foundation’s first-trimester screening software, version 2.8.1. The screening indicated a low risk for aneuploidies, but the ultrasound scan revealed an empty right renal fossa in the standard coronal section. A more detailed axial examination raised the suspicion of crossed fused renal ectopia. No other anomalies were detected. The morphological scans conducted in the second and third trimesters confirmed and upheld the diagnosis initially established in the first trimester. The fetus did not develop any potential antepartum complications. The patient gave birth via caesarean section at 36 weeks to a live female infant, weighing 3000 g, with an APGAR score of 9 at 1 min. Postnatally, the first trimester diagnosis of the renal malformation was confirmed. (3) Conclusions: Crossed fused renal ectopia, probably the rarest renal migration anomaly, can be diagnosed as early as the first trimester of pregnancy.https://www.mdpi.com/2075-1729/14/11/1466crossed fused renal ectopiafirst trimester morphologymaternal–fetal medicine |
| spellingShingle | Mircea-Octavian Poenaru Fernanda-Ecaterina Augustin Ionuț-Didel Vâlcea Romina-Marina Sima Mihaela Amza Oana Denisa Bălălău Liana Pleș Ectopic Kidney, a Challenging First Trimester Diagnosis—Case Report and Literature Review Life crossed fused renal ectopia first trimester morphology maternal–fetal medicine |
| title | Ectopic Kidney, a Challenging First Trimester Diagnosis—Case Report and Literature Review |
| title_full | Ectopic Kidney, a Challenging First Trimester Diagnosis—Case Report and Literature Review |
| title_fullStr | Ectopic Kidney, a Challenging First Trimester Diagnosis—Case Report and Literature Review |
| title_full_unstemmed | Ectopic Kidney, a Challenging First Trimester Diagnosis—Case Report and Literature Review |
| title_short | Ectopic Kidney, a Challenging First Trimester Diagnosis—Case Report and Literature Review |
| title_sort | ectopic kidney a challenging first trimester diagnosis case report and literature review |
| topic | crossed fused renal ectopia first trimester morphology maternal–fetal medicine |
| url | https://www.mdpi.com/2075-1729/14/11/1466 |
| work_keys_str_mv | AT mirceaoctavianpoenaru ectopickidneyachallengingfirsttrimesterdiagnosiscasereportandliteraturereview AT fernandaecaterinaaugustin ectopickidneyachallengingfirsttrimesterdiagnosiscasereportandliteraturereview AT ionutdidelvalcea ectopickidneyachallengingfirsttrimesterdiagnosiscasereportandliteraturereview AT rominamarinasima ectopickidneyachallengingfirsttrimesterdiagnosiscasereportandliteraturereview AT mihaelaamza ectopickidneyachallengingfirsttrimesterdiagnosiscasereportandliteraturereview AT oanadenisabalalau ectopickidneyachallengingfirsttrimesterdiagnosiscasereportandliteraturereview AT lianaples ectopickidneyachallengingfirsttrimesterdiagnosiscasereportandliteraturereview |