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Published on: July 8, 2025
Nephroptosis in a young woman with joint laxity
Barbara A Clark1, Amandeep Sekhon
1Allegheny General Hospital, Pittsburgh, PA 15212, USA. baclarkmd76@hotmail.com
Background:
A 25-year-old woman was evaluated repeatedly from 10 months following her first pregnancy and delivery for recurrent episodes of lower right quadrant abdominal pain, hematuria and a sensation of mass. Despite investigations by several physicians over a 7 month period no clear diagnosis had been made, but a psychosomatic disorder or possible periodic blocked bowel had been suggested, after which the patient requested a consultation with a nephrologist. Her history indicated joint laxity syndrome and a mitral valve prolapse. She was undergoing continuing evaluation for a possible rheumatic condition.
Investigations:
Full history, physical examination, and intravenous pyelography.
Diagnosis:
Nephroptosis of the right kidney.
Intervention:
Exercises were prescribed to strengthen her abdominal musculature and she was advised to wear an elastic abdominal corset during the daytime. The patient is currently considering surgical intervention.
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