What is floating kidney, know its causes, symptoms, treatment?
What is Floating Kidney, Know its Causes, Symptoms, Treatment
- Causes of Floating Kidney. Certain conditions and factors can be considered as contributing causes of floating kidney. ...
- Symptoms of Floating Kidney. While some may not clearly experience any symptoms of floating kidney, some may complain of certain symptoms.
- Diagnosis of Floating Kidney. ...
- Treatment of Floating Kidney. ...
What is surgical fixation of a floating kidney?
These include:
- kidney stones
- kidney infections
- high blood pressure
- lack of blood flowing to the kidneys
How fast can your GFR drop?
These factors include:
- Age
- Height
- Weight
- Gender
- Ethnicity
- Blood Creatinine
- Creatinine Clearance Test
What are the symptoms of a swollen kidney?
Hydronephrosis is a condition of the urinary tract where one or both kidneys swell. This happens because urine does not fully empty from the body. Symptoms may include sudden or intense pain in the back or side, vomiting, painful urination, blood in the urine, weakness and fever due to a urinary tract infection.
What does a floating kidney mean?
Nephroptosis or floating kidney is a condition in which the kidney descends more than two vertebral bodies or >5 cm during a position change from supine to upright. 1 2. It is a condition that typically afflicts thin women.
What are the symptoms of a floating kidney?
Symptomsa sharp side (flank) pain that radiates into the groin.nausea.vomiting.high blood pressure.an abdominal mass when standing upright.a weighing feeling in the abdomen.hematuria (blood in the urine)proteinuria (excessive protein in the urine)More items...
Is a floating kidney painful?
Symptoms and Diagnosis Patients with symptomatic nephroptosis often complain of sharp pains that radiate into the groin. Many patients also suggest a weighing feeling on the abdomen.
What causes kidney ptosis?
Nephroptosis is a common finding caused by muscular contraction of the diaphragm during respirations or by assuming an upright posture, allowing gravitational force to lower the kidney from its usual position.
How do you test for floating kidneys?
The condition has a long history of controversy that surrounds its diagnosis and treatment. However, imaging studies can now provide confirmation of its presence and of what is known as a floating kidney.
Can you have a floating kidney?
Nephroptosis, also known as a floating kidney and renal ptosis, is a condition in which the kidney descends more than 2 vertebral bodies (or >5 cm) during a position change from supine to upright.
How long does Nephrostomy surgery take?
A nephrostomy usually takes less than 30 minutes but can take up to 45 minutes if the procedure is difficult. Your doctor will insert the catheter in your kidney using a needle and guidewire (thin flexible wire). They will inject local anaesthetic into the area where the needle will be inserted.
Do you need dialysis after kidney transplant?
After a successful kidney transplant, your new kidney will filter your blood, and you will no longer need dialysis. To prevent your body from rejecting your donor kidney, you'll need medications to suppress your immune system.
What does a dropped kidney mean?
Nephroptosis, is rare and abnormal condition in which the kidney drops down into the pelvis when the patient stands up. It is more common in women than in men. It has been one of the most controversial conditions in terms of both its diagnosis and its treatments. Nephroptosis.
Is the surgical fixation of a floating kidney?
Nephropexy is the surgical fixation of a floating or mobile kidney (nephroptosis).
How is Malrotated kidney treated?
If you do not find a blockage of your urinary function normal, then no ectopic kidney treatment will be needed. If there is some improvement, the doctor will keep track of the condition. If tests indicate that obstruction is present, surgery may be needed to correct the kidney position to ensure better urine drainage.
What is a ectopic kidney?
An ectopic kidney is a kidney located below, above, or on the opposite side of the kidney's normal position in the urinary tract. The two kidneys are usually located near the middle of your back, just below your rib cage, on either side of your spine.
What is the medical term for a floating kidney?
The medical term for a floating kidney is nephroptosis. This more accurately describes what a floating kidney is because ptosis means drooping, while nephro means kidney. It is important to first understand the normal anatomical position of the kidneys. The location of the right and left kidney does vary slightly apart from just being on opposite sides of the body.
What is a floating kidney?
A floating kidney, medically known as nephroptosis, is a condition where the kidney moves from its normal position when a person lies flat or stands upright. This movement is abnormal.
Why is a floating kidney considered a medical diagnosis?
At one time a floating kidney was even reconsidered as to whether it should be categorized as a medical diagnosis because of the inconsistency of symptoms. In fact all too often, the symptoms of a floating kidney when present is temporarily diagnosed as other kidney disorders, gallbladder, bowel and ovarian diseases.
How much can a kidney move?
In a floating kidney (nephroptosis), the kidney can move more than 5 centimeters (about 2 vertebral bodies) when changing position from lying flat to standing upright.
What is the tissue that holds the blood vessels as it attaches to the kidney hilum?
Stretched or elongated tissue. The tissue that holds the blood vessels as it attaches to the kidney hilum may also be longer than normal. This is believed to contribute to the kidney being able to move front or back, and up and down, to a greater extent than normal.
Where is the kidney hilum located?
Somewhat in the middle of the inner border of kidney is the renal hilum where the blood vessels, nerves and the ureter come in and out of the kidney. This is located around the level of the L2 vertebra (right kidney). The left kidney is about 1 centimeter higher.
How many women have floating kidneys?
It is estimated that some 20% of women may have a floating kidney but only a minority of patients have symptoms. Although the condition is routinely detected during certain diagnostic investigation, it is not often a cause for concern if a person is asymptomatic.
Examination and Investigations
The doctors examined her abdomen but it was inconclusive. Furthermore, they also looked at her previous labs and imaging. They were normal.
Treatment
The doctors treated the patient with nephropexy. This procedure involves surgically fixing the floating kidney. The surgery was uneventful, and she was discharged right after it. She followed up after four weeks with no complications.
What is a floating kidney?
A floating kidney also called nephroptosis is a medical condition due to the absence of perirenal fat. In this condition, the kidney moves inferiorly (more than 5 cm and crosses two vertebral bodies) during a change in position from supine to upright. Furthermore, it is a disease that affects thin and lean women.
What is the condition where one kidney drops 5 centimeters below the correct position in the abdomen?
Causes. Treatment. Complications. Outlook. Nephroptosis is a condition in which one or both kidneys drop around 5 centimeters below their correct position in the abdomen when a person stands up. The kidneys are a set of bean-shaped organs responsible for filtering waste from the blood and producing urine in the body.
Why does my kidney move?
It’s believed that the movement of the kidney is related to insufficient support from certain structures or the connective tissue surrounding the kidneys. Nephroptosis is more common in females, especially those in smaller bodies.
What percentage of nephroptosis affects the right kidney?
Roughly 70 percentof cases of nephroptosis affect the right kidney, 10 percent affect only the left kidney, and 20 percent affect both kidneys. What causes nephroptosis? Nephroptosis is a congenital condition, which means you are born with it. Like other organs, the kidneys are relatively mobile.
What is the name of the condition that causes a person to have a low urine output?
tachycardia(fast heart rate) low urine output. hematuria (blood in the urine) proteinuria (excessive protein in the urine) an enlarged, tender kidney. Dietl crisis is usually resolved by lying down and bringing the knees up into the chest. People with nephroptosis may also experience frequent UTIs.
How many centimeters can a kidney move?
They can shift a couple of centimeters without problems. In nephroptosis, however, the kidney or kidneys descend more than 5 centimeters when someone moves from lying down to standing up. The exact reason for this is not well understood.
Where is the nephroptosis located?
They’re located in the abdomen on either side of the spine, just below the rib cage. Nephroptosis may also be called floating kidney, wandering kidney, or renal ptosis. Most people with nephroptosis don’t experience any symptoms and don’t require any treatment.
Is nephroptosis a disease?
Nephroptosis isn’t considered a harmful condition. Treatment is only recommended in people with symptoms. In the past, weight gain, frequent lying down, abdominal corsets or bandages, and abdominal exercise were recommended to help treat symptoms. Unfortunately, these treatments have shown little success in managing symptoms.
Clinical significance
- A floating kidney, medically known as nephroptosis, is a condition where the kidney moves from its normal position when a person lies flat or stands upright. This movement is abnormal. Although most organs in the abdomen may descend slightly when a person stands upright, the kidneys usually do not move much, almost not at all. Even when the kidneys do move with a cha…
Epidemiology
- A floating kidney is said to be rare but in reality may not be so. It is estimated that some 20% of women may have a floating kidney but only a minority of patients have symptoms. Although the condition is routinely detected during certain diagnostic investigation, it is not often a cause for concern if a person is asymptomatic. Floating kidney (nephroptosis) can occur in both males an…
Nomenclature
- Floating kidney may also be known as : The medical term for a floating kidney is nephroptosis. This more accurately describes what a floating kidney is because ptosis means drooping, while nephro means kidney. It is important to first understand the normal anatomical position of the kidneys. The location of the right and left kidney does vary sligh...
Structure
- The right kidney sits slightly lower than the left kidney. Both kidneys are located at the back of the abdominal cavity and slightly to the outer side against the abdominal wall. In the way, the right kidney lies behind the liver while the left kidney sits behind the spleen. The kidneys are between 9 to 13 centimeters long and bean shaped. Somewhat in the middle of the inner border of kidney i…
Symptoms
- Although the kidney can move very slightly like when breathing in an out, there is a point where this movement is defined as excessive. In a floating kidney (nephroptosis), the kidney can move more than 5 centimeters (about 2 vertebral bodies) when changing position from lying flat to standing upright. This may not seen like a significant distance. However, it is important to reme…
Cause
Pathophysiology
- The tissue that holds the blood vessels as it attaches to the kidney hilum may also be longer than normal. This is believed to contribute to the kidney being able to move front or back, and up and down, to a greater extent than normal. However, most of the support that fixes the kidney in its position comes from the fat and fascia so this allowance is a minimal contributing factor.
Diagnosis
- The presence of the symptoms mentioned above, along with a moving mass which can be felt both by the patient and doctor may raise the suspicion of a floating kidney. A medical history of excessive weight loss or a very thin patient with these symptoms should also raise the question about a floating kidney. Blood and urine tests may reveal the abnormality in kidney functioning. …
Treatment
- While medication may provide temporary relief for the symptoms, a floating kidney needs to be treated surgically. However, surgery is only considered where a patient has all the symptoms described above and the diagnosis of a floating kidney is confirmed with intravenous urography. It is important to bear in mind that not every case of floating kidney would require surgery though. …
Example
- In this procedure, a nephrostomy tube is passed over the 12th rib and inserted through the kidney. The tube basically forms a sling so that the affected kidney is suspended from the 12th ribs. Although it is not widely performed, the results of this procedure have proven to be very promising. It is easy to perform, a quick procedure and has very few complications. Most patient…
Risks
- The video below is of a laparoscopic nephropexy. Sensitive viewers should be aware that the footage may be disturbing.