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Pelvic stone in an ectopic kidney

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis almost certain

Presentation

A 30 Y/O male with recurrent LLQ abdominal pain and urine burning

Patient Data

Age: 30 y
Gender: Male
ultrasound

Normal RT ureteric  jet(RT image) pelvic stone (LT image)

Thickness of the left  pelvis wall 3mm

 Stone S  33x14 mm  in the left pelvis kidney 

Left ectopic kidney  with PUJ stenosis 

Left ectopic kidney (K)

Surgical specimen (stone)

The index finger of the surgeon within the renal pelvis  after remove the stone
Plastic tube determines the ureter

The operation was  achieved by a urinary surgeon , Ahmad Archoukia ,MD, Facharzt Germany.

Case Discussion

Plain film IVP demonstrates ectopic kidney with  a calcific density in the pelvis , which is shown to be in the  renal pelvis when contrast is administered. 

The stone was extracted surgically. 

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