Congenital renal disorders Quiz: Ace Your Exams

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A 40-year-old woman comes to the clinic for a follow-up appointment after hospitalization for pyelonephritis. The patient has had multiple episodes of urinary tract infections over the past few years. She is otherwise healthy. She does not use tobacco, alcohol or illicit substances. Family history is unremarkable. The patient’s physical exam is normal. A CT of the abdomen obtained during hospitalization is shown below:

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Which of the following best explains these findings?

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Impaired tissue obliteration

Fusion anomaly

Abnormal ureteral bifurcation

Defective tissue differentiation

Failure of neural crest cell migration