A case of acute appendicitis in a patient with crossed renal ectopia

Journal of Acute Disease

Nisa Cem Oren¹  Hilmi Gungor²  Orhan Ureyen²  Ulvi Meral³  Murat Zor⁴ 

[1] Department of Radiology, İzmir Military Hospital, İzmir, Turkey;Department of Surgery, Bozyaka Research Hospital, İzmir, Turkey;Department of Surgery, İzmir Military Hospital, İzmir, Turkey;Department of Urology, GMMA Haydarpasa Research and Training Hospital, Istanbul, Turkey;

关键词: Crossed renal ectopia;    Acute appendicitis;    Appendectomy;    Emergency;    Abdominal pain;   

DOI  :  10.1016/j.joad.2015.08.007

来源: DOAJ

【 摘 要 】

Crossed renal ectopia is a rare anomaly in urological clinical practice. Patients with this anomaly are usually asymptomatic. Herein, we reported a case of acute appendicitis in a patient with crossed renal ectopia. A 22-year-old man with abdominal pain admitted to the emergency department. His physical examination revealed muscular defense and painful mass at the lower quadrant. Abdominal ultrasonography revealed crossed renal ectopia with no sign of stones and acute appendicitis. Tomography confirmed crossed renal ectopia but not acute appendicitis. On-going clinical symptoms lead to surgical intervention and acute appendicitis diagnosis. The patient was treated with appendectomy with no perioperative complications. Appendectomy is a common surgical procedure in surgical clinical practice. Acute abdominal pain must be managed carefully in patients with unusual anatomy. Also surgeons should be aware of ectopic organs in surgical procedures, to avoid iatrogenic intraoperative injuries.

【 授权许可】

Unknown