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Area of Science:

  • Urology
  • Radiology
  • Congenital Anomalies

Background:

  • Pelvic renal ectopia is a rare congenital anomaly where kidneys fail to ascend to their normal lumbar position.
  • It is typically asymptomatic, often discovered incidentally during imaging for unrelated conditions.
  • Symptomatic presentations may include recurrent urinary tract infections or obstructive uropathy.

Observation:

  • A 37-year-old female presented for acute lithiasic cholecystitis management.
  • Radiological imaging incidentally revealed left pelvic renal ectopia.
  • The patient had no symptoms related to the ectopic kidney.

Findings:

  • The patient's renal function tests were within normal limits despite the pelvic kidney.
  • Cholecystectomy was successfully performed without complications.
  • A literature review on pelvic renal ectopia was conducted.

Implications:

  • This case underscores the importance of recognizing pelvic renal ectopia during abdominal imaging, even in asymptomatic individuals.
  • It demonstrates that pelvic renal ectopia may not necessarily impair renal function.
  • Management decisions should consider the anomaly but focus on the primary clinical issue, as shown by the successful cholecystectomy.