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Ovulatory dysuria: a bizarre presentation of crossed non-fused ectopic kidney with extra renal pelvis

  • Urology - Case Report
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Abstract

Ectopic kidneys are a unique form of congenital anomaly that in most cases remain asymptomatic. However, depending on the location and the associated anatomical variations, they can mimic certain more common conditions, posing a challenge in differential diagnosis. They could cause secondary symptoms by virtue of their location or could falsely mimic a primary urologic problem when the etiology might be from a closely opposed adjacent structure. We present a unique case of ovulatory dysuria in a young female with a crossed non-fused ectopic kidney. The patient’s symptoms were recurrent and correlated with the ovulatory phase of the menstrual cycle. Work-up revealed the right ovary to be in close proximity to the pelvis of the ectopic kidney. Salpingo-oophrectomy was followed by complete resolution of the patient’s symptoms. The clinical manifestations, work-up, and management of symptomatic ectopic kidneys are briefly discussed in our article. Symptoms are usually attributed only by systematically excluding other causes. Surgical intervention is a last resort option only after thorough work-up with appropriate imaging studies.

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Authors and Affiliations

  1. Michael E. Debakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA

    Raja R. Gopaldas

  2. Department of Surgery, Easton Hospital/Drexel University College of Medicine, Easton, PA, USA

    Thomas B. Walden

Authors
  1. Raja R. Gopaldas
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  2. Thomas B. Walden
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Correspondence to Raja R. Gopaldas.

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Gopaldas, R.R., Walden, T.B. Ovulatory dysuria: a bizarre presentation of crossed non-fused ectopic kidney with extra renal pelvis. Int Urol Nephrol 40, 889–892 (2008). https://doi.org/10.1007/s11255-008-9390-3

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  • DOI: https://doi.org/10.1007/s11255-008-9390-3

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