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Chavan S K; Diwan C V (2009)
Publisher: Pravara Institute of Medical Sciences (DU), Loni
Journal: Pravara Medical Review
Languages: English
Types: Article
Subjects: Congenital, Anomaly, Kidney, Ureter, Medicine (General), R5-920, Medicine, R, DOAJ:Medicine (General), DOAJ:Health Sciences
Congenital anomalies of urinary tract are of frequent occurrence. These anamolies were found during human cadaveric dissection carried out in the Department of Anatomy, S. R. T. R. Medical College,Ambajogai. In place of right kidney, a small triangular fibrous structure of size 3x2 cm2 with a thread like ureter coursing normally and entering a normal sized urinary bladder was found. The left kidney was larger in size with normally coursing ureter. The right ureter was thinner and did not open in the urinary bladder while the left ureter displayed an abnormally low placed left ureteric opening. The testis and their duct system were normal. Right and left suprarenals were normal in position and size. Abnormalright ureter and fibrous triangular structure were studied histologically by preparing Heamatoxylin & Eosin stained sections. Ureter showed normal histology with muscular coat and transitional epithelial lining, while the fibrous mass showed an attempt towards formation of renal tubules, mesenchymatous fibrous tissue and also tubules showing appearance of epidydimis with typical high columnar epithelium. Unilateral renal agenesis is a commonly reported anomaly although it is always associated with absence of ureters. The presence of epididymis like tubules with normal male genital duct system and the, fibrous mass replacing the right kidney, raise doubtful developmental queries. Probable causes leading to suchanamolies have been discussed.
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