OBSTRUCTED PAN CAKE KIDNEY IN A CHILD MANAGED BY IMAGE GUIDED PERCUTANEOUS NEPHROSTOMY

  • Sheo Kumar Professor, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, India
  • Prabhaker Mishra Assistant Professor, Department of Biostatistics & Health Informatics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, India
  • Swish Kumar Singh Senior Resident, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, India

Abstract

Pancake kidney, also called pelvic fused kidney, lump or cake kidney, is a rare type of congenital renal fusion anomaly. It is characterized by the presence of a lobulated pelvic renal mass which has a dual parenchymatous system without an intervening septum.  Pancake kidney is prone to obstruction due to abnormal rotation of collecting system and calculus. When a patient presents with a nonfunctioning and obstructed kidney, a temporary nephrostomy preserves any recoverable renal tissue. Many a times a seemingly alarming radiological appearance where little functional recovery is expected, dramatic improvement in renal function has been noticed. We report a case of pancake kidney with right PUJ and left ureteric calculus causing hydronephrosis in a 9-years-old male child, evaluated by ultrasonography and MDCT, underwent image guided (sonography and fluoroscopy) percutaneous nephrostomy for relieving the ureteric obstruction.


Keywords: Renal fusion, pancake kidney, percutaneous nephrostomy, nephrostogram.

Keywords: Renal fusion, pancake kidney, percutaneous nephrostomy, nephrostogram

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Author Biographies

Sheo Kumar, Professor, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, India

Professor, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, India

Prabhaker Mishra, Assistant Professor, Department of Biostatistics & Health Informatics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, India

Assistant Professor, Department of Biostatistics & Health Informatics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, India

Swish Kumar Singh, Senior Resident, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, India

Senior Resident, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow-226014, India

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How to Cite
Kumar, S., Mishra, P., & Singh, S. K. (2018). OBSTRUCTED PAN CAKE KIDNEY IN A CHILD MANAGED BY IMAGE GUIDED PERCUTANEOUS NEPHROSTOMY. Journal of Drug Delivery and Therapeutics, 8(5), 1-4. https://doi.org/10.22270/jddt.v8i5.1864