Fraley syndrome

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Fraley syndrome
File:Fraley Syndrome.jpg
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Hematuria, flank pain
Complications	Hypertension, renal failure
Onset	Variable
Duration	Chronic
Types	N/A
Causes	Compression of the upper pole renal calyx by a crossing renal artery
Risks	Kidney stones, urinary tract infection
Diagnosis	CT scan, ultrasound, intravenous pyelogram
Differential diagnosis	Renal artery stenosis, hydronephrosis
Prevention	N/A
Treatment	Surgical intervention, nephrectomy
Medication	N/A
Prognosis	Good with treatment
Frequency	Rare
Deaths	N/A

Fraley syndrome is a rare medical condition characterized by the compression of the upper pole renal calyx by an aberrant or accessory renal artery. This condition can lead to symptoms such as hematuria (blood in the urine), flank pain, and recurrent urinary tract infections.

Pathophysiology

Fraley syndrome occurs when an aberrant or accessory renal artery compresses the upper pole calyx of the kidney. This compression can obstruct the flow of urine, leading to the dilation of the calyx and subsequent symptoms. The condition is often diagnosed through imaging studies such as intravenous pyelogram (IVP), ultrasound, or CT scan.

Symptoms

The primary symptoms of Fraley syndrome include:

• Hematuria: Presence of blood in the urine.
• Flank pain: Pain in the side of the body between the upper abdomen and the back.
• Recurrent urinary tract infections: Frequent infections of the urinary system.

Diagnosis

Diagnosis of Fraley syndrome typically involves imaging studies to visualize the anatomy of the kidneys and the presence of any aberrant renal arteries. Common diagnostic tools include:

• Intravenous pyelogram (IVP)
• Ultrasound
• CT scan

Treatment

Treatment options for Fraley syndrome may vary depending on the severity of the symptoms and the degree of obstruction. They can include:

• Conservative management: Monitoring and managing symptoms without surgical intervention.
• Surgical intervention: Procedures to relieve the obstruction, such as pyeloplasty or vascular surgery to reposition the aberrant artery.

See also

• Kidney
• Renal artery
• Hematuria
• Urinary tract infection
• Intravenous pyelogram
• Ultrasound
• CT scan
• Pyeloplasty

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