Renal arterial thrombosis after the contralateral removal of a pelvic kidney

In a 19-year-old female a pelvic kidney, on the left side, was removed because of recurrent urinary tract infections, severe abdominal complaints and a pathological isotope-nephrography. Following nephrectomy a severe uremia with cerebral edema and pneumonia developed based on a medial necrosis of the artery of the right kidney. After surgical correction the function of the right solitary kidney returned to normal.