Nephroptosis: Difference between revisions
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'''Nephroptosis''' (also called '''floating kidney''' or '''renal ptosis''') is an abnormal condition in which the [[kidney]] drops down into the [[pelvis]] when the patient stands up. | '''Nephroptosis''' (also called '''floating kidney''' or '''renal ptosis''') is an abnormal condition in which the [[kidney]] drops down into the [[pelvis]] when the patient stands up. It is more common in women than in men. It has been one of the most controversial conditions among doctors in both its diagnosis and its treatments.<ref>{{cite journal |author=Moss SW |title=Floating kidneys: a century of nephroptosis and nephropexy |journal=J. Urol. |volume=158 |issue=3 Pt 1 |pages=699–702 |year=1997 |pmid=9258063 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S0022-5347(01)64296-4}}</ref> | ||
==Etiology== | |||
It is believed to result from deficiency of supporting perirenal [[fascia]]e. | It is believed to result from deficiency of supporting perirenal [[fascia]]e. | ||
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==Treatment== | ==Treatment== | ||
[[Nephropexy]] was performed in the past to stabilize the kidney, but presently surgery is not recommended anymore in asymptomatic patients. | [[Nephropexy]] was performed in the past to stabilize the kidney, but presently surgery is not recommended anymore in asymptomatic patients. | ||
Revision as of 01:15, 2 April 2009
| Nephroptosis | |
| ICD-10 | N28.8 |
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| ICD-9 | 593.0 |
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Nephroptosis (also called floating kidney or renal ptosis) is an abnormal condition in which the kidney drops down into the pelvis when the patient stands up. It is more common in women than in men. It has been one of the most controversial conditions among doctors in both its diagnosis and its treatments.[1]
Etiology
It is believed to result from deficiency of supporting perirenal fasciae.
Symptoms
Nephroptosis is asymptomatic in most patients. However, nephroptosis can be characterized by violent attacks of colicky flank pain, nausea, chills, hypertension, hematuria and proteinuria.
Patients with symptomatic nephroptosis often complain of sharp pains that radiate into the groin. Many patients also suggest a weighing feeling on the abdomen. Pain is typically relieved by lying down.
Treatment
Nephropexy was performed in the past to stabilize the kidney, but presently surgery is not recommended anymore in asymptomatic patients.
External links
- Barber N, Thompson P (2004). "Nephroptosis and nephropexy--hung up on the past?". Eur Urol. 46 (4): 428–33. PMID 15363554.
Template:SIB Template:Nephrology
- ↑ Moss SW (1997). "Floating kidneys: a century of nephroptosis and nephropexy". J. Urol. 158 (3 Pt 1): 699–702. PMID 9258063.