By Ahmed H. Al-Salem
This booklet is key for physicians taking good care of younger sufferers with urological stipulations, as a brief reference booklet that's effortless to learn and well-illustrated. Pediatric urological stipulations are really universal, and babies and youngsters are visible daily with urological difficulties both in clinics or in hospitals.
This publication turns out to be useful to common surgeons, pediatricians, pediatric surgeons, fellows, citizens, normal physicians and family members physicians, clinical scholars and nurses. The Editor has received event within the prognosis and administration of varied urological difficulties in babies and kids, operating in busy health center during the last 25 years.
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Additional info for An Illustrated Guide to Pediatric Urology
Ectopic kidney is also more prone to trauma. • Around 50 % remain unrecognized throughout life. • Ectopic kidneys lie outside the renal fossa and may be located in: – The pelvis – The iliac fossa – The chest – Crossed • Simple renal ectopia refers to a kidney in the ipsilateral retroperitoneal space and is most commonly located in the pelvis but may be opposite the sacrum or below the aortic bifurcation. Figs. 20 Intravenous urography showing a right hydronephrotic pelvic kidney. Note also the partial duplication of the left ureter 1 18 • The lumbar or iliac ectopic kidney is fixed above the iliac crest but below the level of L2 and L3.
Normal and abnormal development of the kidney: a clinician’s interpretation of current knowledge. J Urol. 2002;167:2339. 7. Gribouval O, Gonzales M, Neuhaus T, et al. Mutations in genes in the renin-angiotensin system are associated with autosomal recessive renal tubular dysgenesis. Nat Genet. 2005;37:964. 41 8. Gubler MC. Renal tubular dysgenesis. Pediatr Nephrol. 2014;29:51. 9. Harris J, Robert E, Källén B. Epidemiologic characteristics of kidney malformations. Eur J Epidemiol. 2000;16:985. 10.
Most crossed kidneys are asymptomatic and remain undetected throughout life. • However they may present with infection, a mass or on screening for urinary abnormalities . • More than 90 % of crossed renal ectopia results in renal fusion. • Subtypes: – Type a: inferior crossed fusion – Type b: sigmoid kidney – Type c: lump kidney – Type d: disc kidney – Type e: L-shaped kidney – Type f: superiorly crossed fused • Crossed fused renal ectopia is more common on the left side (Left-to-right ectopy is 3:1).
An Illustrated Guide to Pediatric Urology by Ahmed H. Al-Salem