Crossed fused renal ectopia: Sonographic diagnosis

Abstract

Five cases of crossed fused renal ectopia, all confirmed by either computed tomographic scan or intravenous urography, were diagnosed sonographically. The sonographic appearance of this entity consists of a characteristic anterior and/or posterior notch, difference in orientation of the 2 collecting systems in the fused kidneys, and absence of a kidney in the contralateral renal fossa, or elsewhere in the body, such as the pelvis. The inability to diagnose this condition correctly may lead to the misdiagnosis of a renal mass or infiltrative disease occupying the contralateral renal fossa. Computed tomographic scans will also identify the anomaly.