Management of ureteral obstruction in crossed fused renal ectopia: A case report

  • Nicholas Bhojwani University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106
  • Jason Brett Hartman Case Western Reserve University School of Medicine 10900 Euclid Avenue Cleveland, OH 44106
  • Manzoor Ahmed University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106
  • Robert Morgan Case Western Reserve University School of Medicine 10900 Euclid Avenue Cleveland, OH 44106
  • Jon C Davidson University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106
Keywords: prostate cancer, intervention, decompression

Abstract

Crossed fused renal ectopia is a rare congenital malformation. We describe a case in which a 58-year-old male with left-sided crossed fused renal ectopia presented with urinary bladder outlet obstruction due to metastatic prostate adenocarcinoma. Glomerular filtration rate (GFR) was 13 mL/min, creatinine 4 mg/dL, and blood urea nitrogen (BUN) 58 mg/dL. The patient underwent successful image-guided placement of percutaneous nephrostomy tubes which were later converted to nephroureteral stents. Labs improved to a GFR of 28 mL/min, creatinine of 2.4 mg/dL, and BUN of 41 mg/dL. In this case standard image-guided renal decompression techniques were effective in treating a patient with crossed fused renal ectopia.

Author Biographies

Nicholas Bhojwani, University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106
Department of Radiology
Jason Brett Hartman, Case Western Reserve University School of Medicine 10900 Euclid Avenue Cleveland, OH 44106
Medical student
Manzoor Ahmed, University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106
Division of Vascular and Interventional Radiology
Jon C Davidson, University Hospitals Case Medical Center 11100 Euclid Ave Cleveland, OH 44106
Division of Vascular and Interventional Radiology
Published
2014-10-22
How to Cite
Bhojwani, N., Hartman, J. B., Ahmed, M., Morgan, R., & Davidson, J. C. (2014). Management of ureteral obstruction in crossed fused renal ectopia: A case report. Canadian Urological Association Journal, 8(9-10), e752-4. https://doi.org/10.5489/cuaj.2050
Section
Case Report