Address for Correspondence: Dr. Roopa Kulkarni, Professor of Anatomy, M.S.Ramaiah Medical College, Bangalore-560054, Karnataka, India. Phone No.: 080.23327302, Mobile: 9880134985. E-Mail: drroopa9@rediffmail.com Access this Article online Quick Response code Web site: 1 Professor of Anatomy, M S Ramaiah Medical College, Bangalore, India. 2 Associate Professor of Anatomy, M S Ramaiah Medical College, Bangalore, India. 3 Professor of Anatomy, M.S.U.; I.M.S., Bangalore Campus, Bangalore, India. Background: Kidneys and ureters demonstrate a wide range of anomalies due to its complex development. One such anomaly would be the crossed renal ectopia which is fusion of both kidneys on to one side and malpositioned at the pelvis. The occurrence of these anomalies, though rare, is due to multifactorial reasons. The renal anomaly was observed in a formalin fixed adult cadaver during the undergraduate medical dissection. The abdominal cavity, on opening, revealed malrotation of the gut with the large intestine on the left side and the small intestinal loops on the right side. The left renal fossa was empty due to fusion of the left kidney with the right kidney forming a lump kidney. The ureter of the left kidney was draining in to its normal position into the urinary bladder. The position of the lump kidney was in the right iliac fossa. It was having arterial feeders from the abdominal aorta and the common iliac arteries and was draining into the inferior vena cava and the right common iliac veins by 5 renal veins. Crossed renal ectopia rarely may be associated with malrotation of the gut. Awareness of such anomalies could be due to incidental finding and helps the surgeons and radiologists in their diagnosis and planning and preventing postoperative complications.

/pdf/crossed-renal-ectopia-associated-with-malrotation-of-1idetgwu4h.pdf

Crossed renal ectopia associated with malrotation of intestine- A rare case report.

Among congenital renal anomalies, crossed renal ectopia is relatively rare. We report two cases of crossed renal ectopia without fusion. One patient was a 26-year-old woman, admitted to our hospital with complaint of infertility. She was diagnosed to have hydrosalpinx on hysterosalpingography. Intravenous pyelography and renoscintigraphy disclosed crossed renal ectopia without fusion. We confirmed it on the operation of hydrosalpinx. The other was a 28-year-old man with complaint of hypospadia. Intravenous pyelography, retrograde pyelography and abdominal aortography disclosed crossed renal ectopia without fusion. These patients had subjectively no complaints, and the renal functions were unimpaired. So we decided to follow them up. In Japan there have been 30 reports of crossed renal ectopia including these cases. We performed a statistical study of the renal ectopia without fusion.

Two cases of crossed renal ectopia without fusion

We present a case of crossed-fused ectopic left kidney in a young man who came with rightsided abdominal pain for about 5 months. Crossed-fused ectopic kidney is often associated with other congenital anomalies, especially in the urinary tract. Our patient had two anomalies-an anomalous placement of renal pelvis (laterally in the orthotopic kidney), and a high up caecum, which was an asymptomatic associated gastrointestinal tract anomaly. doi: 10.3329/taj.v16i2.3889 TAJ December 2003; Vol.16(2): 79-81

/pdf/crossed-fused-ectopic-kidney-a-case-report-430jvka1vt.pdf

Crossed fused Ectopic Kidney - A Case Report

Objective: To determine the feasibility, safety, efficacy and short term outcome of using new surgical technique for repair of anterior urethral stricture Introduction: The conventional approach for management of long segment anterior urethral stricture is a two stage Johansons repair along with the use of free grafts if required. Now a days the preferred management of urethral stricture involving long segments of anterior urethra is dorsal only oral mucosa Augmentation urethroplasty which requires circumferential mobilization of urthera that might cause ischaemia of urethra in addition of chordee. For that we adopted new technique (kulkarnis) of dorsolateral onlay buccal mucosal graft one sided anterior urethroplasty in which only unilateral urethral mobilization done through perineal approach. Materials and Methods: A total of 50 patients underwent urethroplasty for anterior urethral strictures using dorsolateral onlay BMG from April 2010 to December 2012 at NIKDU, JBFH, BSMMU and BDM Hospital. We selected 16 to 70 years old male (mean age 39 years) underwent a one-sided dorsolateral oral mucosal graft urethroplasty. The mean (range) stricture length was 6.5 (4.5-9) cm in patients with single bulbar urethral involvement and 10.5 (8.5–15.0) cm in patients with panurethral strictures. Free graft was taken from oral mucosa either lower lip or cheeks. Follow up was done by uroflowmetry at 3rd week, after removal of penile catheter and repeat at 3rd and at 6th month. In addition to uroflometry – RGU & MCU was done at 3rd month and Urethrocystoscopy was done at 6th month follow up. The results were classified into the following outcomes. Success was defined as a maximum flow rate of >10 ml/sec, normal RGU, and/or urethroscopy (with a 19 Fr. sheath). Failure was defined as the presence of obstructive urinary tract symptoms, Qmax <10 ml/sec, stricture diagnosed on retrograde urethrogram/ urethroscopy, and the need for any postoperative urethral intervention. Result: The overall follow up was 12-30 months. Of the 50 patients 45 (90%) had a successful outcome and 5(12%) had failure. 3 failure treated by OIU and 2 by meatal dilatation. No significant donor site defect was observed. Conclusions: Dorsolateral OMG onlay urethroplasty is feasible, tolerable, and safe for any length of anterior urethral stricture with good short term success. Bangladesh J. Urol. 2013; 16(2): 37-42

Outcome of Dorsolateral OnlAy OMG Urethroplasty for Anterior Urethral Stricture

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Crossed fused Ectopic Kidney - A Case Report

Outcome of Dorsolateral OnlAy OMG Urethroplasty for Anterior Urethral Stricture