Hydronephrotic pelvic kidney mimicking urinary retention in an 18-year-old male

Philipp Reimold; Cem Aksoy; Georgi Tosev; Gencay Hatiboglu; Markus Hohenfellner

doi:10.1016/j.eucr.2022.102241

Hydronephrotic pelvic kidney mimicking urinary retention in an 18-year-old male

Urol Case Rep. 2022 Sep 23:45:102241. doi: 10.1016/j.eucr.2022.102241. eCollection 2022 Nov.

Authors

Philipp Reimold¹, Cem Aksoy¹, Georgi Tosev¹, Gencay Hatiboglu¹, Markus Hohenfellner¹

Affiliation

¹ Department of Urology, University Clinic Heidelberg, Im Neuenheimer Feld 420, 69120, Heidelberg, Germany.

Abstract

We present a case of a hydronephrotic pelvic kidney in an 18-year-old male reporting about inability to void. Ultrasound showed a hypoechogenic mass mimicking a full urinary bladder. Anticipating urinary retention, a foley was inserted but no urin could be aspirated. Imaging showed a hydronephrotic pelvic kidney with no relevant function obstructing the urinary bladder and the contralateral ureter. Nephrectomy was performed and postoperative course was uneventful. A hydronephrotic pelvic kidney is a rare but important differential diagnosis in young men reporting lower abdominal pain and inability to void.

Keywords: Hydronephrosis; Pelvic kidney; Urinary retention.

Publication types

Case Reports