Bilateral Ectopic Kidneys Presenting as Lower Abdominal Pain  

作　　者：Ba-Etilayoo Atinga Twum Barima Emmanuel Owusu Sekyere Ba-Etilayoo Atinga;Twum Barima;Emmanuel Owusu Sekyere(Department of Basic and Applied Biology, School of Science, University of Energy and Natural Resources, Sunyani, Ghana;Department of Medical Imaging, School of Allied Health Science, University for Development Studies, Tamale, Ghana;St Mary’s Hospital, Drobo, Ghana)

机构地区：[1]Department of Basic and Applied Biology, School of Science, University of Energy and Natural Resources, Sunyani, Ghana [2]Department of Medical Imaging, School of Allied Health Science, University for Development Studies, Tamale, Ghana [3]St Mary’s Hospital, Drobo, Ghana

出　　处：《Open Journal of Urology》2021年第11期404-412,共9页泌尿学期刊（英文）

摘　　要：<strong>Background:</strong> Bilateral Ectopic Kidney is uncommon and usually diagnosed during a routine medical checkup. It could be misdiagnosed as an abdominopelvic mass. In-depth knowledge of its presentation will aid in its management. A poor anatomical relation of the kidneys with other abdominopelvic organs could lead to renal complications and surgical errors. This is of gynaecological importance and worthy of discussion for a lady of her reproductive age. <strong>Case presentation:</strong> A 20-year-old nulliparous lady of African descent presented with a long-standing history of dull lower abdominal pain. The pain has been intermittent and occasionally associated with a sensation of movement in the lower abdomen. She has a regular and normal menstrual cycle and has no lower urinary tract symptoms. Physical examination was unremarkable with intact secondary sexual characteristics. The abdomen was soft, non-tender and without any organomegaly. Abdominal ultrasonography, renal pyelogram and urinalysis were carried out after her consent was sought in accordance with the institution’s protocol. Urine analysis was normal and culture was negative. However further imaging revealed a bilateral pelvic ectopic kidney. <strong>Conclusion:</strong> Most of the cases reported are usually unilateral ectopic kidneys. It is, therefore, our belief that this information will be useful to medical practitioners such as surgeons, urologists, radiologists and gynaecologists. Such a diagnosis will enable clinicians to follow up with the client and preserve the renal function whiles preventing iatrogenic injuries during surgical procedures.<strong>Background:</strong> Bilateral Ectopic Kidney is uncommon and usually diagnosed during a routine medical checkup. It could be misdiagnosed as an abdominopelvic mass. In-depth knowledge of its presentation will aid in its management. A poor anatomical relation of the kidneys with other abdominopelvic organs could lead to renal complications and surgical errors. This is of gynaecological importance and worthy of discussion for a lady of her reproductive age. <strong>Case presentation:</strong> A 20-year-old nulliparous lady of African descent presented with a long-standing history of dull lower abdominal pain. The pain has been intermittent and occasionally associated with a sensation of movement in the lower abdomen. She has a regular and normal menstrual cycle and has no lower urinary tract symptoms. Physical examination was unremarkable with intact secondary sexual characteristics. The abdomen was soft, non-tender and without any organomegaly. Abdominal ultrasonography, renal pyelogram and urinalysis were carried out after her consent was sought in accordance with the institution’s protocol. Urine analysis was normal and culture was negative. However further imaging revealed a bilateral pelvic ectopic kidney. <strong>Conclusion:</strong> Most of the cases reported are usually unilateral ectopic kidneys. It is, therefore, our belief that this information will be useful to medical practitioners such as surgeons, urologists, radiologists and gynaecologists. Such a diagnosis will enable clinicians to follow up with the client and preserve the renal function whiles preventing iatrogenic injuries during surgical procedures.

关 键 词：Case Report Bilateral Ectopic Kidney Lower Abdominal Pain Abdominal Ultrasonography 

分 类 号：R69[医药卫生—泌尿科学]