Nephroptosis
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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| Nephroptosis | |
|---|---|
| File:The Principles and practice of gynecology - for students and practitioners (1904) (14744995296).jpg | |
| 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]
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