Pelvic kidney with double, venous drainage

Aleksandar Georgiev; Silvia Tsvetkova; Lubomir Chervenkov; Katya Doykova

doi:10.1016/j.radcr.2020.12.023

Pelvic kidney with double, venous drainage

Radiol Case Rep. 2020 Dec 17;16(3):461-463. doi: 10.1016/j.radcr.2020.12.023. eCollection 2021 Mar.

Authors

Aleksandar Georgiev¹, Silvia Tsvetkova¹, Lubomir Chervenkov¹, Katya Doykova¹

Affiliation

¹ Department of Diagnostic Imaging, Medical University Plovdiv, Bul. Vasil Aprilov 15A, Plovdiv, Bulgaria.

Abstract

An ectopic kidney is defined as an atypically placed kidney, due to improper migration from the fetal pelvis, during embryogenesis. The presented CT scan of 72-year-old male with pain and visible hematuria reveals that the right kidney is located in the pelvis. The ectopic kidney has malrotation with a calcified artery and 2 veins. One draining in the right common iliac vein and the other connected to the left common iliac vein-near the bifurcation of vena cava inferior. Usually, pelvic ectopy is asymptomatic. However, it may lead to elevated blood pressure, increased risk of stone formation, infections, and traumatism, due to the atypical anatomical position. Variations in the anatomy of the kidney and its vascular supply are of clinical importance. It is possible to encounter a radiological, surgical, or cancer case, such as the presented.

Keywords: Anatomical variants; CT; Ectopic kidney; Pelvic kidney; Venous drainage.

Publication types

Case Reports