Real time gray scale ultrasonography of upper abdomen was carried out in 1237 cases for varied indications. Overall prevalence of biliary lithiasis was 11.56% with female to male ratio of 4:1. Fifty years and below, female to male ratio was 6.5:1. 88.8% cases of biliary lithiasis were 60 years and below. Gall bladder dyspepsia (61.5%) and right upper quadrant pain (41%) were the main presenting features of biliary lithiasis. 26 patients (18%) presented with acute abdomen. Asymptomatic gallstones were found in 25 (17.5%) cases. Solitary calculus was less common than multiple calculi with a ratio of 1:4. Amongst cases of multiple calculi the small sized (2-4 mm) variety was the maximum (49%) followed by medium sized (5-10mm) and large sized (>10mm) calculi respectively. MJAFI 2003; 59 : 15-17
We present a case of crossed-fused ectopic left kidney in a young man who came with rightsided abdominal pain for about 5 months. Crossed-fused ectopic kidney is often associated with other congenital anomalies, especially in the urinary tract. Our patient had two anomalies-an anomalous placement of renal pelvis (laterally in the orthotopic kidney), and a high up caecum, which was an asymptomatic associated gastrointestinal tract anomaly.
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