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Congenital renal anomaly in a patient with situs inversus

Ysbyty Gwynedd North West Wales NHS Trust, Bangor LL57 2PW, UK

Correspondence to:
Correspondence to:
Mr Chaturvedi;
patanjali_c@hotmail.com

Submitted 10 November 2002
Accepted 24 January 2003

Keywords: congenital renal anomaly; horseshoe kidney; renal anomaly

The first 150 words of the full text of this article appear below.

A 65 year old man was referred to the urology clinic with a two month history of right loin pain. He had no previous urological history. Situs inversus had been diagnosed previously during a routine appendicectomy.

Clinical examination and blood pressure were normal. Laboratory evaluation including blood urea, serum creatinine, 24 hour urinary protein, and urine culture were normal. A plain abdominal radiograph showed no calculi. An ultrasound scan identified a suspicious mass lesion, which demonstrated increased vascularity in the lower pole of the left kidney. A subsequent computed tomogram failed to identify a mass lesion but did reveal a congenital abnormality (fig 1) in addition to the previously diagnosed situs inversus (fig 2). The patient was reassured and discharged with instructions for a regular blood and urine check by his family doctor.

View larger version (103K): [in this window] [in a new window]   Figure 1 Computed tomogram showing congenital abnormality.

View larger version (122K): [in this window] [in a new window]   Figure 2 Computed tomogram showing situs inversus.

1. Name the congenital . . . [Full text of this article]