Urinary System - Part 4 Flashcards
Crossed fused
ectopia
Both kidneys are fused in the same quadrant
- 2 separate collecting systems
- 2 normally located adrenal glands
What the the clinical findings of crossed fused ectopia? (2)
- Asymptomatic
2. Abdominal mass
What is the US appearance of crossed fused ectopia? (3)
- One single, large kidney
- Irregular contour
- Inferior pole is directed medially
What are 3 differential diagnosis of crossed fused ectopia?
- Renal mass
- Cake kidney
- Sigmoid kidney
Duplication of the kidney
2 distinct collecting systems
- may involve kidney, ureter, and/or renal pelvis
- may be partial or complete
What are the clinical findings of duplication of the kidney? (2)
- Asymptomatic
2. Flank pain
What are the US appearance of duplication of the kidney? (3)
- Increase in renal length
- 2 distinct collecting systems
- The superior system is most likely to obstruct
What are 2 differential diagnosis of duplication of the kidney?
- Hypertrophied column of Bertin
2. Renal mass
Horseshoe kidney
Fusion of the kidneys usually at the inferior poles
What is the horseshoe kidney connected by?
Connected by an isthmus of functioning parenchyma or non-functioning fibrotic tissue
What is the most common form of renal fusion?
Horseshoe kidney
What are the clinical findings of horseshoe kidney? (2)
- Asymptomatic
- Pulsatile abdominal
mass
What is the US appearance of horseshoe kidney? (4)
- Bilateral low lying medially placed kidneys with partial or complete fusion of the inferior poles
- “Dipping effect” of both inferior poles
- Isthmus of tissue demonstrated anterior to the abdominal aorta
- Isthmus echo texture is similar to the renal cortex
What are 4 differential diagnosis of horseshoe kidney?
- Renal mass
- Lymphadenopathy
- Bowel
- Retroperitoneal tumour
Pelvic kidney
Failure to ascend with development