Congenital Solitary Kidney

Importance of Deep Abdominal Palpation in the Perinatal Diagnosis of Urologic Malformations

“…The importance of early diagnosis of this situation is stressed by the necessity of early intervention in par ticular cases (patient 3) and by problems related to late complications [14,15]. In this series, we can only estimate (50%) the sensi tivity of palpation because we did not use a 'gold standard' like systematic postnatal ul trasonography.…”

“…For instance, many patients with unilateral renal agenesis are diagnosed through the workup of more obvious associated anomalies (rather than by examination of the abdomen), or at the occasion of an acute or chronic disease involving the isolated kidney (like infection or trauma) [14][15][16],…”

Complete Aortic Atresia with Dissecting Aneurysm

“…Collins (1932) collected 581 examples, and Longo and Thompson (1952) suggested that the necropsy rate is about 1 in 1,000 cases and the clinical incidence about 1 in 1,500 cases. If we add the possibilities of hypoplastic or maldeveloped kidneys, of kidneys destroyed by disease, and of kidneys removed by previous nephrectomy, injury to a solitary kidney is an accident worth consideration.…”

“…The solitary kidney may be damaged rather more readily, as it is usually larger and therefore less protected than a normal kidney. Longo and Thompson (1952) have shown a high incidence of disease in the congenitally solitary kidney. This, too, may make it prone to injury-hydronephrosis being a common complication.…”

Are Auxiliary Methods Necessary prior to ESWL in Patients with a Solitary Kidney?

“…Unilateral renal agenesia is found in approximately 1 in every 1,000 autopsy cases [1], In clinical practice it is found in approximately 1 in every 1,500 cases [1]. The acquired solitary kidney is seen more often, as demon strated by Goldstein and Goldstein [2], These authors reported that in 747 patients with a solitary kidney, 30 were of congenital origin.…”