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Published on: June 21, 2024
Hydronephrotic pelvic kidney mimicking urinary retention in an 18-year-old male
Philipp Reimold1, Cem Aksoy1, Georgi Tosev1
1Department 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.
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