Congenital kidney malformation: Computed tomography and scintigraphy findings of renal reversed rotation

Francesca Di Giuliano, MD; Eliseo Picchi, MD; Adriano Lacchè, MD; Alessio Bozzi, MD; Yuri Cavaleri, MD; Francesco Garaci, MD, PhD; Roberto Floris, MD, PhD

Radiology Case Reports (Jun 2019)

Congenital kidney malformation: Computed tomography and scintigraphy findings of renal reversed rotation

Francesca Di Giuliano, MD,
Eliseo Picchi, MD,
Adriano Lacchè, MD,
Alessio Bozzi, MD,
Yuri Cavaleri, MD,
Francesco Garaci, MD, PhD,
Roberto Floris, MD, PhD

Affiliations

Francesca Di Giuliano, MD: Fondazione PTV Policlinico “Tor Vergata”, University of Rome “Tor Vergata”, Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy
Eliseo Picchi, MD: Fondazione PTV Policlinico “Tor Vergata”, University of Rome “Tor Vergata”, Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy; Corresponding author.
Adriano Lacchè, MD: Fondazione PTV Policlinico “Tor Vergata”, University of Rome “Tor Vergata”, Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy
Alessio Bozzi, MD: Fondazione PTV Policlinico “Tor Vergata”, University of Rome “Tor Vergata”, Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy
Yuri Cavaleri, MD: Fondazione PTV Policlinico “Tor Vergata”, University of Rome “Tor Vergata”, Department of Surgery; Urology UOC, 00133 Rome, Italy
Francesco Garaci, MD, PhD: Fondazione PTV Policlinico “Tor Vergata”, University of Rome “Tor Vergata”, Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy
Roberto Floris, MD, PhD: Fondazione PTV Policlinico “Tor Vergata”, University of Rome “Tor Vergata”, Department of Biomedicine and Prevention, Radiology UOC, Viale Oxford, 81, 00133 Rome, Italy

Journal volume & issue: Vol. 14, no. 6
pp. 678 – 682

Abstract

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Renal reversed rotation is a congenital abnormality due to anomalous kidney rotation around its long axis, resulting in faced laterally renal hilum; this condition is associated with several vascular variants. The aim of this report is to describe the case of a 47-year-old male with renal reversed rotation who came to our attention after ultrasound exam. The association of renal rotation and vascular anomalies increases long-term complications as kidney lithiasis, hydronephrosis, colic pain, hematuria, and renal failure. We decided to study the anatomy and renal function of the reversed rotated kidney by multiphasic computed tomography and renal dimercaptosuccinic acid-scintigraphy. It is critical for urologists and radiologists to recognize this abnormality in order to plan the best treatment and follow-up. Keywords: Congenital renal anomalies, Renal reversed rotation, Computed tomography, DMSA scintigraphy

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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