Nephroptosis
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
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
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 of nephroptosis is conservative in asymptomatic patients. Symptomatic patients may require surgical intervention, such as nephropexy or laparoscopic nephropexy.
See Also
References
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