title: An Ectopic Pelvic Kidney.
abstract: BACKGROUND
  If a kidney does not ascend as it should in normal fetal development, it remains in the pelvic area and is called a pelvic kidney. Often a person with a pelvic kidney will go through his/her whole life unaware of this condition, unless it is discovered during neonatal kidney ultrasound screening or if complications arise later in life due to this or a completely different reason and the condition is noted during investigations. Generally, this is not a harmful condition but it can lead to complications like in our case. With appropriate testing and treatment, if needed, an ectopic kidney should cause no serious long-term health complications and all that may be required for the patient is reassurance with advice to follow up at regular intervals.
  
  
  METHODS
  A 28-year-old male presented with recurrent pain in his lower left abdomen for one month and an episode of hematuria 3 days earlier accompanied by an attack of acute pain lasting for 3-4 hours. He gave a history of passing 2 small (about 5 mm each) calculi in his urine after the occurrence of hematuria, following which pain decreased in intensity. No history of fever was present.
  
  
  CONCLUSIONS
  Although a simple ectopic kidney seldom causes symptoms, the association of malrotation of the renal pelvis with calculus increases the risk of hematuria and/or hydronephrosis, presenting with colicky pain as in the present case. The clinician should be aware of these in such a case. If asymptomatic, no treatment is required. However, the patient should be advised to have follow-up ultrasounds at regular intervals to detect complications like calculus, hydronephrosis, etc. With appropriate testing and treatment, if required, an ectopic kidney should not cause serious long-term health complications.
authors.affiliation: Department of Radiology, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India.
authors.forename: Rohit
authors.initials: R
authors.lastname: Bhoil
authors.affiliation: Department of Radiology, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India.
authors.forename: Dinesh
authors.initials: D
authors.lastname: Sood
authors.affiliation: Department of Radiology, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India.
authors.forename: Yash Paul
authors.initials: YP
authors.lastname: Singh
authors.affiliation: Department of Radiology, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India.
authors.forename: Kshama
authors.initials: K
authors.lastname: Nimkar
authors.affiliation: Department of Radiology, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh, India.
authors.forename: Anurag
authors.initials: A
authors.lastname: Shukla
keywords: Hydronephrosis; Kidney Calculi; Urinary Calculi