PEDIATRICS Vol. 48 No. 3 September 1971, pp. 454-457
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Hypertension Associated with Crossed Renal Ectopia in an Infant

David T. Mininberg M.D.1, Stephanie Roze M.D.2, H. J. Yoon M.D.2, and Marylin Pearl M.D.2

1 Department of Urology and Pediatrics
2 Department of Pediatrics and Radiology, New York Medical College, Metropolitan Hospital Center, 1901 First Avenue, New York, New York 10029

Hypertension is not found commonly in infants under 1 year of age. Renovascular type of hypertension is extremely rare in this age group. A 3-month-old male infant is presented who developed hypertension secondary to the unilateral anomaly of crossed renal ectopia. This was associated with two other developmental anomalies, imperforate anus Type III-B and rectourethral fistula. The hypertension was treated successfully by surgery.

Case Report

A male infant, the full-term product of a 34-year-old G6P4A1 mother, was born by normal spontaneous delivery, weighing 5 pounds 8frac12 ounces. Physical examination was entirely normal except for the presence of an imperforate anus which subsequently proved to be Type III-B.