Table 1.
Clinical details of the 9 patients with supernumerary kidneys
| No. | Age group | Initial reason for radiological examination | Referred to radiology by? | Initial modality | Additional modalities | Correctly diagnosed | Initial diagnosis reported | Initial diagnosis to surgery | Patient management |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Adult | Pneumonia and gastrointestinal bleeding | Pulmonology | CT | 2 CT scans 1 Cystography | Yes | SK; diagnosis rejected 12 years later. DD: “tumor” | 12 years | Watch-and-wait surgery 12 years later together with prostatectomy |
| 2 | Adult | Liver cirrhosis | Gastroenterology | CT |
7 CT scans 1 MR scan |
No | Described, but without diagnosis or interpretation | – | No consequence |
| 3 | Adult | Uterine Carcinoma | Gynecology | CT |
3 CT scans 6 US exams |
No | Metastasis of the adrenal gland | – | No consequence |
| 4 | Adult | Urinary tract infections | Surgery | CT |
5 CT scans 4 US exam 2 Cystographies 3 MR scans |
No | Abscess | 2 days | Series of operations. Complications: urinary leakage; fistula to rectum and urine bladder |
| 5 | Adult | Lumbalgia | GP | CT | – | No | Recurrence of a presumably resected tumor | – | Watch-and-wait |
| 6 | Child | Lower abdominal pain | Pediatrics | US |
1 CT 2 US exam 1 MR scan |
Yes | SK | 11 years | Resection of the hydronephrotic SK and ureter; shrunken IK remained in situ |
| 7 | Adult | Tumor palpated | Gastroenterology | CT | 6 MR scans | No | Mesenterial cyst or lymphocele | – | No consequence |
| 8 | Adult | Aortic dissection | Surgery | CT |
2 CT scans 1 US exam |
No | Described, but without diagnosis or interpretation | – | No consequence |
| 9 | Adolescent | Inguinal hernia and pain | Surgery | US |
2 US exams 1 Cystography 1 Urography 1 MR scan |
No | Megaureter or cyst | 17 years | Resection |
Abbreviations: DD Differential diagnosis, IK Ipsilateral kidney, SK Supernumerary kidney, UF Ureter fissus, US Ultrasound