Bilateral Ectopic Pelvic Kidneys: The Novel Association with Liver Hemangioma

Abstract

Aamir Jalal Al-Mosawi

Background Renal ectopia is a congenital abnormality in which one or both kidneys are located in an unusual position because of failure of normal ascend from its origin in the true pelvis. Several types of renal ectopia with or without fusion or other associated renal and abdominal visceral abnormalities have been reported. We have previously reported the case forty-one of crossed unfused renal ectopia, and the aim of this paper is to report the association of bilateral ectopic pelvic kidneys with liver hemangioma.

Patients and methods The case of a woman in her mid-forties with renal and hepatic abnormalities on pelvic and abdominal ultrasound was studied.

Results A woman in her mid-forties was having recurrent lower abdominal pain or discomfort and recurrent urinary tract infection. Ultrasound showed that both kidneys were ectopic and were located in the pelvic cavity. Both kidneys were normal in size, texture, parenchymal thickness, and had normal cortico-modularly differentiation. There was mild splitting of the pelvi-calyceal system suggesting infection. Both ureters were normal. The liver was normal in size with homogenous texture, but there was a right lobe well-defined echogenic soft tissue mass, hemangioma. Renal function tests showed normal findings.

Conclusion Bilateral ectopic pelvic kidneys is a rare congenital condition that has not been reported to occur in association with hepatic hemangioma. This paper reports the novel association of bilateral ectopic pelvic kidneys with hepatic hemangioma.

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