A Clinical Observation on the Normal and Movable Kidney of Korean.
- Author:
Dai Soo CHANG
1
Author Information
1. Department of Urology, Catholic Medical College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
normal kidney;
movable kidney;
Korean
- MeSH:
Axis, Cervical Vertebra;
Contrast Media;
Drainage;
Dyspepsia;
Female;
Flank Pain;
Hematuria;
Humans;
Incidence;
Kidney Pelvis;
Kidney*;
Male;
Pyuria;
Spine;
Supine Position;
Urination
- From:Korean Journal of Urology
1971;12(3):277-286
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The clinical and intravenous pyelographic studies on 513 cases of Korean with normal or movable kidneys at St. Mary's Hospital, Catholic Medical College, during the period from January 1965 through September 1969 were performed Of 513 cases, 215 cases, normal kidneys and others, movable kidneys. The results were summarized as follows; 1. The center of the right renal pelvis in the supine position was at the level of the upper part of the second lumbar vertebra, and that of the left was located at the L1-L2 level in normal kidney 2. The angle between the long axis of normal kidney and the vertebral column was 6 degrees - 20 degrees, and no differences were noticed between the right and left side. 3. The range of the angular change obtained by the postural change from the supine to the erect was 1'-10' in normal kidney. 4. The ratio of the movable kidney of the male and female was 1:1.6, and that of the right and left was 20:1. The incidence of the movable kidney was the highest in the age of 31 to 40, and majority of the movable kidney (80.5%) was lied between the age of 20 and 50. 5. The most common clinical findings of the movable kidney wag flank pain (40.6%) and other findings were recorded in the order of hematuria, frequency of urination, palpable mass on the renal region, pyuria and indigestion. 6. Among 52 cases of microscopic hematuria, grade 1 showed 30 cases (57.7%). 7. 104 cases (35.0%) of the movable kidney showed no subjective symptoms. 8. 139 cases (46.6%) of the movable kidney showed poor drainage of contrast media during I.V.P. taken in erect position. 9. Only 25 cases (8.3%) of the movable kidney were treated by operation.