Nephroptosis: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name                    = Nephroptosis
| image                  = [[File:The_Principles_and_practice_of_gynecology_-_for_students_and_practitioners_(1904)_(14744995296).jpg|250px]]
| caption                = Illustration of nephroptosis
| field                  = [[Nephrology]]
| synonyms                = Floating kidney, renal ptosis
| symptoms                = [[Flank pain]], [[nausea]], [[vomiting]], [[hematuria]]
| complications          = [[Hydronephrosis]], [[urinary tract infection]]
| onset                  = Typically in [[young adults]]
| duration                = Chronic
| causes                  = Weakening of the [[renal fascia]]
| risks                  = [[Thin body habitus]], [[trauma]]
| diagnosis              = [[Intravenous pyelogram]], [[ultrasound]], [[CT scan]]
| differential            = [[Renal colic]], [[pyelonephritis]], [[appendicitis]]
| treatment              = [[Nephropexy]], [[supportive care]]
| medication              = [[Analgesics]] for pain management
| frequency              = Rare
}}
'''Nephroptosis''' (also known as '''floating kidney''' or '''renal ptosis''') is a pathological condition in which the kidney descends more than two vertebral bodies (or greater than 5 cm) during a change from supine to upright position. It is more common in women than in men. It can be caused by rapid weight loss, lack of perirenal fat, or a long renal pedicle.
'''Nephroptosis''' (also known as '''floating kidney''' or '''renal ptosis''') is a pathological condition in which the kidney descends more than two vertebral bodies (or greater than 5 cm) during a change from supine to upright position. It is more common in women than in men. It can be caused by rapid weight loss, lack of perirenal fat, or a long renal pedicle.
== Signs and Symptoms ==
== Signs and Symptoms ==
Patients with nephroptosis can be asymptomatic or symptomatic. Symptomatic patients usually present with the classical triad of flank pain, abdominal pain, and hematuria. The pain is usually relieved when the patient lies down.
Patients with nephroptosis can be asymptomatic or symptomatic. Symptomatic patients usually present with the classical triad of flank pain, abdominal pain, and hematuria. The pain is usually relieved when the patient lies down.
== Diagnosis ==
== Diagnosis ==
[[Nephroptosis]] is diagnosed by intravenous urography or [[renal ultrasound]] when the patient is in the upright position. The kidney is seen to descend more than 2 vertebral bodies or greater than 5 cm.
[[Nephroptosis]] is diagnosed by intravenous urography or [[renal ultrasound]] when the patient is in the upright position. The kidney is seen to descend more than 2 vertebral bodies or greater than 5 cm.
== Treatment ==
== Treatment ==
Treatment of nephroptosis is conservative in asymptomatic patients. Symptomatic patients may require surgical intervention, such as nephropexy or laparoscopic nephropexy.
Treatment of nephroptosis is conservative in asymptomatic patients. Symptomatic patients may require surgical intervention, such as nephropexy or laparoscopic nephropexy.
== See Also ==
== See Also ==
* [[Kidney disease]]
* [[Kidney disease]]
* [[Renal ultrasound]]
* [[Renal ultrasound]]
* [[Nephropexy]]
* [[Nephropexy]]
== References ==
== References ==
<references />
<references />
[[Category:Kidney diseases]]
[[Category:Kidney diseases]]
[[Category:Medical conditions]]
[[Category:Medical conditions]]
[[Category:Urology]]
[[Category:Urology]]
{{stub}}
{{stub}}
<gallery>
File:The Principles and practice of gynecology - for students and practitioners (1904) (14744995296).jpg|Nephroptosis
</gallery>

Latest revision as of 05:49, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Nephroptosis
Synonyms Floating kidney, renal ptosis
Pronounce N/A
Specialty N/A
Symptoms Flank pain, nausea, vomiting, hematuria
Complications Hydronephrosis, urinary tract infection
Onset Typically in young adults
Duration Chronic
Types N/A
Causes Weakening of the renal fascia
Risks Thin body habitus, trauma
Diagnosis Intravenous pyelogram, ultrasound, CT scan
Differential diagnosis Renal colic, pyelonephritis, appendicitis
Prevention N/A
Treatment Nephropexy, supportive care
Medication Analgesics for pain management
Prognosis N/A
Frequency Rare
Deaths N/A


Nephroptosis (also known as floating kidney or renal ptosis) is a pathological condition in which the kidney descends more than two vertebral bodies (or greater than 5 cm) during a change from supine to upright position. It is more common in women than in men. It can be caused by rapid weight loss, lack of perirenal fat, or a long renal pedicle.

Signs and Symptoms[edit]

Patients with nephroptosis can be asymptomatic or symptomatic. Symptomatic patients usually present with the classical triad of flank pain, abdominal pain, and hematuria. The pain is usually relieved when the patient lies down.

Diagnosis[edit]

Nephroptosis is diagnosed by intravenous urography or renal ultrasound when the patient is in the upright position. The kidney is seen to descend more than 2 vertebral bodies or greater than 5 cm.

Treatment[edit]

Treatment of nephroptosis is conservative in asymptomatic patients. Symptomatic patients may require surgical intervention, such as nephropexy or laparoscopic nephropexy.

See Also[edit]

References[edit]

<references />

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