Dystopia of kidneys

Dystopia of the kidneys is expressed in the low location and unique appearance. The pelvis is lateral to the parenchyma or lies on the front of its surface. The kidney is located close to the middle line. The ureter shortened according to position the kidneys. The vessels of the kidney depart from the lower end of the aorta and inferior Vena cava, from the iliac and mesenteric vessels and fall into the kidney multiple trunks in different areas, forming the sometimes bizarre network. The kidney is often saves embryonic delicately, flat or spherical shape. Distinguish pelvic, iliac and lumbar a dystopia. The lower is the Bud, the structure closer to the embryonic type.
Dystopia of the kidney can be one - or two-way. It happens relatively often - once on 750-1000 autopsies, equally often right and left.
Dystopia kidney sometimes does not show itself, or causes a dull pain in the lower abdomen, in Ilium, in the sacrum. Pain depend on pressure dystopic buds on the nerve nodes adjacent organs, from the difficulty of urine outflow caused by additional vessels that perekrashivat the ureter.
As a result of pressure dystopic buds on the intestine, violated its function, there are long locks or phenomenon of chronic colitis. Dystopia of the kidneys may serve as an obstacle to the delivery.
Dystopic the kidney is often possible to probe through the wall of the abdomen, per rectum or per vaginam. It is often suspect the tumor in the abdominal cavity. The diagnosis is determined with the help of retrograde pielografii or excretory urography. The first gives a more contrasting picture, the second allows you to simultaneously detect the anomaly of development on the other side. The full presentation is provided by a combination of these x-ray methods.
Pyelogram dystopic kidney very typical: 1) the shadow of the pelvis is below normal, sometimes in the basin; 2) it is closely attached to the spine and pelvic when dystopia is projected to it; 3) a Cup turned to the middle line and not in the lateral side and often deformed; 4) the ureter departs from the lateral edge or from the middle of the pelvis, and not from the medial edge of her; 5) the ureter short (Fig. 51).
Characteristic features of pyelogram allow to differentiate the dystopia of kidneys from nephroptosis (omitted kidneys), which listed signs, except for the low location of the kidneys, absent (see Fig. 126).
Treatment. Accidentally discovered dystopia of the kidneys do not require treatment. Diseases her stones, tuberculosis, tumors, hydronephrosis, and so on - are treated as a General indications.
Very rare (1 in 10,000 autopsies) meets dystopic kidney, located on the opposite side, below the main kidneys, with lower pole which it may be in some cases spliced. Both of the ureter into the bladder at the usual places, one of them crosses the spine. This dystopia is called cross (Fig. 52).

dystopic kidney left
Fig. 51. Dystopic Bud left.
cross-dystopia of the left kidney
Fig. 52. Cross-dystopia of the left kidney.