Pelvic Ectopic Renal Urolithiasis: A Case Report

Abstract

Ectopic kidney is a congenital malformation which is very rare. The most frequent localisation is in the pelvis. Ectopic kidney is frequently diagnosed incidentally during radiological examination. Because it creates pelvic mass, it can be misdiagnosed as colonic tumours or ureteric masses. In September 2011, a 45-year-old male patient, applied to the emergency service with abdominal pain. On physical examination, there was a left pelvic mass, and left inguinal and left costovertebral sensitivity. In microscopic evaulation of urine, erythrocytes were abundant and the leukocyte value was 3/hpf. Abdominal-pelvic ultrasonography and computed tomography examinations were performed and the patient was diagnosed with an ectopic pelvic kidney and a left ureteral stone. Ureteral stones resulting from an ectopic pelvic kidney are not common. In patients who have applied to the emergency service with abdominal pain, pelvic mass and with no accompanying pathology, a ureteral stone as a result of an ectopic pelvic kidney may be considered as not requiring treatment.