title: (99m)Tc-DMSA scintigraphy diagnosing crossed renal ectopia with fusion in a three years old boy.
abstract: A 3 years old boy with a history of surgery for orchidopexy was admitted to our hospital with fever and abdominal pain. Clinical examination and laboratory investigations revealed  urinary tract infection with renal involvement. Ultrasonography demonstrated a solitary left kidney and raised the suspicion of a fusion anomaly.  Voiding cystography disclosed grade III vesicoureteral reflux and technetium-99m dimercaptosuccinic acid scintigraphy revealed right to left crossed renal ectopia with fusion (L-shaped kidney). The patient is undergoing standard follow-up for the early detection of possible renal complications. In conclusion, L-shaped kidney is a rare entity  and the (99m)Tc-DMSA scintigraphy played an important role on timely diagnosis.
authors.affiliation: Department of Pediatric Surgery, Alexandroupolis University Hospital, Dragana, 68100 Alexandroupolis, Greece. sgardik@med.duth.gr.
authors.forename: Aggelos
authors.initials: A
authors.lastname: Tsalkidis
authors.forename: Stefanos
authors.initials: S
authors.lastname: Gardikis
authors.forename: Katerina
authors.initials: K
authors.lastname: Kambouri
authors.forename: Athanassios
authors.initials: A
authors.lastname: Zissimopoulos
authors.forename: Nikos
authors.initials: N
authors.lastname: Boussios
authors.forename: Savas
authors.initials: S
authors.lastname: Deftereos
authors.forename: George
authors.initials: G
authors.lastname: Vaos
authors.forename: Athanassios
authors.initials: A
authors.lastname: Chatzimichael
mesh_terms: D006801:Humans; D007223:Infant; D007674:Kidney Diseases; D008297:Male; D019275:Radiopharmaceuticals; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D014552:Urinary Tract Infections; D014718:Vesico-Ureteral Reflux
chemical_list: D019275:Radiopharmaceuticals; D019783:Technetium Tc 99m Dimercaptosuccinic Acid