scholarly journals Crossed fused renal ectopia in a Persian cat

2017 ◽  
Vol 3 (1) ◽  
pp. 205511691769587
Author(s):  
Sang-Hyuk Seo ◽  
Hyun-A Lee ◽  
Sang-Il Suh ◽  
Ran Choi ◽  
In-Chul Park ◽  
...  

Case summary This report describes a rare case of crossed fused renal ectopia (CFRE) in a cat. A mature intact male Persian cat presented with bloody nasal discharge and ascites. Diagnostic studies revealed an ectopic left kidney fused with an orthotopic right kidney and a concurrent feline infectious peritonitis (FIP) infection. The FIP was responsible for clinical signs in this cat, while clinical signs associated with CFRE were not obvious. Despite receiving intensive treatment, the cat died. A post-mortem examination was not performed because the owners declined approval. Relevance and novel information To the best of our knowledge, this is the first report of L-shaped CFRE in a cat. In addition, this report describes the CT features of L-shaped CFRE in a cat.

2020 ◽  
Vol 6 (1) ◽  
pp. 205511692091783
Author(s):  
Clarisse D’Aout ◽  
Helen Renfrew ◽  
Melanie Dobromylskyj ◽  
Nicholas Bacon ◽  
Annika Herrmann ◽  
...  

Case summary A 13-year-old female domestic longhair cat was presented for further investigation of chronic sneezing combined with a right-sided nasal discharge. A CT scan of the head revealed a locally invasive, aggressive right nasal mass radiographically consistent with a malignant neoplastic process. Histopathology on rhinoscopically guided biopsies revealed an unusual pathology consistent with fibro-osseous hyperplasia/dysplasia. Surgical treatment via a ventral rhinotomy and curettage was performed, and the diagnosis confirmed by repeat histopathology. The cat’s clinical signs significantly improved postoperatively. Relevance and novel information This case report describes an unusual feline nasal pathology. To our knowledge, there are no previous reports of a non-neoplastic, non-inflammatory expansile feline nasal tumour. Also described are the CT and histological appearance of the mass, and the difficulties encountered obtaining the definitive diagnosis. Information regarding the prognosis following surgical removal of proliferative fibro-osseous lesions in cats is poor, especially from the nasal cavity where clean margins may well be impossible to obtain. In this case, surgical resection improved clinical signs and the cat remains well at 15 months post-procedure.


2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Carlos Eduardo Fonseca-Alves ◽  
Aline Gonçalves Corrêa ◽  
Fabiana Elias ◽  
Sabryna Gouveia Calazans

A 10-year-old, intact male, pinscher was presented with unilateral bloodstained nasal discharge, sneezing, dyspnea, zygomatic arch deformity, submandibular lymph node increase, blindness in right eye, and exophthalmia. After clinical examination, it was found that the animal presented with upper respiratory tract dyspnea origin, possibly caused by an obstructive process. Complete blood count (CBC), ocular ultrasonography, thoracic radiographs, mandibular lymph node, and nasal sinus fine needle aspiration were performed. The right mandibular lymph node excisional biopsy was conducted and a tumor sample was obtained through the nasal fistula at hard palate. The material was processed, paraffin embedded, sectioned, and stained with hematoxylin and eosin. Immunohistochemical staining for cytokeratin (AE1/AE3), vimentin, and COX-2 was performed. After histopathological evaluation nasal carcinoma diagnosis was obtained. Chemotherapy was established with carboplatin 300 mg/m2intravenously—four cycles with intervals of 21 days—and firocoxib 5 mg/kg orally every 24 hours for 7 months. After 7 months the treatment started, the animal presented with ataxia, vocalization, hyperesthesia, and anorexia. Due the clinical condition presented, the animal owner opted for performing euthanasia. The chemotherapy protocol was effective causing the disease stagnation, minimizing the clinical signs, and extending patient survival and quality of life.


Cureus ◽  
2019 ◽  
Author(s):  
Sachin Khanduri ◽  
Ekta Tyagi ◽  
Vivek K Yadav ◽  
Sushma Pandey ◽  
Harsh Yadav ◽  
...  

2018 ◽  
Vol 100 (8) ◽  
pp. e217-e219
Author(s):  
F Hajji ◽  
K Moufid ◽  
O Ghoundale ◽  
D Touiti

Crossed renal ectopia with fusion is an extremely rare congenital anomaly with few reported cases of pelviureteric junction obstruction, which often involves the crossed-over kidney. To our knowledge, we describe the second case in literature to report an uncrossed kidney with pelviureteric junction obstruction and giant hydronephrosis, which obstructs the pelviureteric junction of the crossed-over kidney. The grossly hydronephrotic kidney was found to be poorly functioning and an aberrant crossing vessel was considered to be potentially involved, raising both diagnostic and management challenges. By reporting this case, we aim to stress the importance of adequate mapping collecting systems, drainage patterns and vascular supply in such crossed fused anomalies.


2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Leyla Akdogan ◽  
Ali Kemal Oguz ◽  
Tarkan Ergun ◽  
Ihsan Ergun

Crossed fused renal ectopia is a rare congenital anomaly of the urinary system where one kidney crosses over to opposite side and the parenchyma of the two kidneys fuse. Herein, we present an atypical CFRE case whose renal anatomy does not exactly match any of the already defined CFRE types. Both of the kidneys are ectopic with the crossed ectopic right kidney lying superiorly and fused to the upper pole of the left kidney. Renal arteries were originating from the common iliac arteries. A focal 90% stenosis was observed on the right main renal artery. The patient is borderline hypertensive.


2018 ◽  
Vol 5 (2) ◽  
pp. 723
Author(s):  
Monika Gupta ◽  
Ravi Gupta

This is a rarest of rare case of surgical resection of giant retroperitoneal teratoma in a 15 yr old female child, causing displacement of left kidney to right by its huge volume (45X30X25cm= 33750cm3), making it appear like acquired crossed confused renal ectopia. Teratomas can occur anywhere in abdomen. Ovary being most common site followed by retroperitoneum. The most common age group is <1yr of age but they can present in any age. There are various case reports describing giant teratomas of various sizes in children and adults. Largest reported size is of 35x35cm size in a 33 yr old female. The case author has operated is rare case ever reported of ‘most voluminous retroperitoneal teratoma in 15 yr old female’ with displacement of all intra-abdominal structures by its volume. Tumor was 45x30x25cm with 12kg weight. When presented patient had complaints of vague discomfort and extreme abdominal distension progressive over last 1 yr. Patient underwent surgery -Excision of tumor, which needed dissection from superior mesentric artery and vein, splenic vein, pancreas, retroperitoneum, splenic vein, diaphragm and left kidney. Left kidney was rotated to right side, causing it to appear like ‘acquired crossed confused renal ectopia’ The left kidney was safely replaced to its original position in left renal fossa. The histopatholgy of tumor was of mature teratoma with no evidence of malignancy. Patient remained symptom free and recurrence free during 5 yrs follow up. Mature cystic teratomas are benign in nature they can attain enormous size in abdomen and can displace any intrabdominal structure. Surgeons should be aware that these big tumors can be resected with preservation of displaced structures in abdomen. Careful surgery is essential for preservation of abdominal organs and to ensure quality of life of patient.


2016 ◽  
Vol 4 (8) ◽  
pp. 1425-1429
Author(s):  
Dr. Amita Amita ◽  
◽  
Dr. Samrin Haq ◽  
Dr. Simmi Bhatnagar ◽  
Dr. Sugandha Garg ◽  
...  

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Ghanshyam Kumawat ◽  
Mohit Singla ◽  
Nishkarsh Mehta ◽  
Prashant Gupta ◽  
SS Yadav

Abstract Background Crossed fused renal ectopia is a rare congenital anomaly where both the kidneys are fused and situated on one side and drain bilaterally into the urinary bladder. Rarely crossed fused ectopia can present with a single ureter draining ipsilaterally into the bladder, but here we are presenting for the first time a rare case of right crossed fused ectopia, where a solitary ureter crosses midline and drains contralaterally into the bladder. Case presentation A 19-year-old adolescent male patient presented with intermittent chronic right flank pain for 3 months. General physical and per abdominal examinations were normal. Computerized tomography (CT) urography showed right side crossed fused ectopic kidneys with a solitary ureter draining both the kidneys and opening into the left side of the urinary bladder. The patient was managed conservatively and is on regular follow-up. Conclusion Crossed complete renal fused ectopia with solitary contralateral ureteral is a rare case. Individualized case-based management is needed depending upon the symptoms, associated anomalies, and pathology. Reporting of all rare congenital cases will help in the future understanding and management of these conditions.


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