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Crossed renal ectopia with an unusual form of fusion (inverted U shape) managed by novel approach - laparoscopic ureterocalicostomy. A case report

Osama Bani Hani, Omar Halalsheh, Yazeed Mohammad, Anas Bani Yaseen, Ruba Khasawneh, Nour Al–Sheikh, Mais Al-Khalili, Mohannad Mahmoud Alomari

Abstract: Herein we present a case of crossed renal ectopia with an unusual type of fusion, discovered incidentally in a 11-year-old girl presented with recurrent urinary tract infections. Both kidneys were located on the right side of the body fused in their upper poles only, forming an inverted U shape. After reviewing the published data on this topic, we found that most of the described anomalies were within the six well-known types of fusion anomalies. This child had an unusual clinical presentation of severe hydronephrosis of the orthotopic kidney. A unique surgical technique to correct the pathology to be able to preserve the residual mass of that kidney was performed.
Keywords: fusion / unusual / child / crossed renal / renal ectopia / anomalies / shape / forming

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