Nephroptosis
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.
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.