Japanese Journal of Radiology

, Volume 34, Issue 3, pp 181–193 | Cite as

Congenital anatomic variants of the kidney and ureter: a pictorial essay

  • M. R. Srinivas
  • K. M. Adarsh
  • Riya Jeeson
  • C. Ashwini
  • B. R. Nagaraj
Pictorial Essay

Abstract

Congenital renal parenchymal and pelvicalyceal abnormalities have a wide spectrum. Most of them are asymptomatic, like that of ectopia, cross fused kidney, horseshoe kidney, etc., while a few of them become complicated, leading to renal failure and death. It is very important for the radiologist to identify these anatomic variants and guide the clinicians for surgical and therapeutic procedures. Cross-sectional imaging with a volume rendered technique/maximum intensity projection has overcome ultrasonography and IVU for identification and interpretation of some of these variants.

Keywords

Horseshoe kidney Renal agenesis Zinner’s syndrome Pancake kidney Intrathoracic ectopia 

Notes

Compliance with ethical standards

Conflict of interest

None.

References

  1. 1.
    Muttarak M, Sriburi T. Congenital renal anomalies detected in adulthood. Biomed Imaging Interv J. 2012;8:e7. doi: 10.2349/biij.8.1.e7.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Turkvatan A, Olcer T, Cumhur T. Multidetector CT urogrphy of renal fusion anomalies. Diagn Interv Radiol. 2009;15:127–34.PubMedGoogle Scholar
  3. 3.
    Nikken JJ, Krestin GP. MRI of the kidney – state of the art. Eur Radiol. 2007;17:2780–93.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Bhatt S, MacLennan G, Dogra V. Renal pseudotumors. AJR Am J Roentgenol. 2007;188:1380–7.CrossRefPubMedGoogle Scholar
  5. 5.
    D’Silva MH, Anbalagan J, Rao S, Swer RT, Sadeesh T. Anatomical study on renal agenesis. J. Anat. Soc. India. 2012;61:48–52. doi: 10.1016/S0003-2778(12)80013-X.CrossRefGoogle Scholar
  6. 6.
    Jung SI, Cho JY. Illustrations: Congenital anomalies of upper urinary tract. In: Kim SH, editor. Radiology illustrated: uroradiology. Philadelphia: Saunders; 2012. pp. 56 - 102. doi:  10.1007/978-3-642-05322-1_4.
  7. 7.
    Del Vescovo R, Battisti S, Di Paola V, Piccolo CL, Cazzato RL, Sansoni I, et al. Herlyn-Werner-Wunderlich syndrome: MRI findings, radiological guide (two cases and literature review), and differential diagnosis. BMC Med Imaging. 2012;12:4. doi: 10.1186/1471-2342-12-4.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Ghonge NP, Aggarwal B, Sahu AK. Zinner syndrome: A unique triad of mesonephric duct abnormalities as an unusual cause of urinary symptoms in late adolescence. Indian J Urol. 2010;26:444–7. doi: 10.4103/0970-1591.70592.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Adekanmi, A., O. Atalabi, I. Ukachukwu. Supernumerary kidney (triple kidney) with horseshoe component: A case report. The Internet Journal of Radiology. 2013; 15.1.Google Scholar
  10. 10.
    O’Brien J, Buckley O, Doody O, Ward E, Persaud T, Torreggiani W. Imaging of horseshoe kidneys and their complications. J Med Imaging Radiat Oncol. 2008;52:216–26.CrossRefPubMedGoogle Scholar
  11. 11.
    Tiwari AK, Choudhary AK, Khowal H, Chaudhary P, Arora MP. Pancake kidney: A rare developmental anomaly. Can Urol Assoc J. 2014;8:E451–2. doi: 10.5489/cuaj.1933.PubMedPubMedCentralGoogle Scholar
  12. 12.
    Zahol DE, Miclaus G, Alexa A, Sztika D, Pusztai AM. Farca Ureche M. Ectopic kidney with malrotation and bilateral multiple arteries diagnosed using CT angiography. Rom J Morphol Embryol. 2010;51:589–92.Google Scholar
  13. 13.
    Drop A, Czekjska-Chehab E, Maciejewski R, Staskiewocz GJ, Torres K. Thoracic ectopic kidney in adults- A report of 2 cases. Folia Morphol (Warsz). 2003;62:313–6.PubMedGoogle Scholar
  14. 14.
    Solanki S, Bhatnagar V, Gupta AK, Kumar R. Crossed fused renal ectopia: Challenges in diagnosis and management. J Indian Assoc Pediatr Surg. 2013;18:7–10. doi: 10.4103/0971-9261.107006.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Fernbach SK, Feinstein KA, Spencer K, Lindstrom CA. Ureteral duplication and its complications. Radiographics. 1997;17:109–27.CrossRefPubMedGoogle Scholar

Copyright information

© Japan Radiological Society 2016

Authors and Affiliations

  1. 1.Department of Radiodiagnosis and Imaging, Victoria HospitalBangalore Medical College and Research InstituteFort, BangaloreIndia

Personalised recommendations