Bilateral Pelvic Kidneys: A Rare Anomaly

Abstract

Abstract:Anomalies of renal migration and fusion are rare. Ectopic kidneys that fail to ascend above the pelvic brim are commonly called pelvic kidneys. Bilateral cases have also been reported but are very rare. We present a case of 43 year old female who presented with intermittent dull aching pain in right lower abdomen, who had malrotated pelvic kidneys with vascular anomalies, associated with spina bifida. The majority of patients with ectopic kidneys are asymptomatic but those affected by obstruction, recurrent infection, or renal calculi, the anatomical position and associated anomalies should dictate the plan of management.

Malrotation of an iliac ectopic kidney with pyelo-ureteral duplication: An incidental three-in-one congenital anomaly

“…The iliac ectopia should be considered as a separate entity by radiologists during imaging examinations. Renal ectopias are most often asymptomatic, and are discovered incidentally [6] . In our patient, the incidental finding occurred after an abdominal trauma.…”

Pelvic renal ectopia, an incidental finding

“…The majority of individuals are asymptomatic and informed of the anomaly on incidental discovery during imaging for other pathologies. Individuals can however present with a lump, abdominal or back pain and are prone to vesico-ureteric reflux and therefore infections as well as stones 2. In severe cases of anatomical or organ dysfunction, surgical intervention is required posing challenges of its own 3…”

Incidental finding of a rare anomaly: Bilateral maternal pelvic kidneys

“…1 Bilateral pelvic kidneys are even rarer and have been reported only a few times in literature. [2][3][4] The kidneys, initially formed in the pelvis during foetal life, eventually ascend cranially into the abdomen, passing through the arterial forks of the foetal umbilical arteries. Occasionally, one or both kidneys may fail to ascend and remain in the pelvis as a pelvic kidney.…”