Open AccessUnilateral hypoplastic pelvic ectopic kidney presenting as a cold abscess: A case report
Author(s) -
Olalekan J Adepoju,
Michael Nweke,
Oluwafunmilayo Soneye,
Clement Abu Okolo,
Adegbolahan Fakoya
Publication year - 2021
Publication title -
nigerian journal of surgery/nigerian journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 2278-7100
pISSN - 1117-6806
DOI - 10.4103/njs.njs_27_19
Subject(s) - medicine , nephrectomy , differential diagnosis , laparotomy , abscess , pelvic kidney , kidney , scintigraphy , ectopic kidney , surgery , radiology , general surgery , pathology
Renal ectopia, even though a benign condition, presents diagnostic challenges when its complications arise. Cold abscess in an abnormally sited kidney may, therefore, create a diagnostic conundrum for the clinician. We present the case of a 55-year-old male who had a suppurating ectopic kidney that mimicked an abdominal visceral mitotic lesion necessitating initial laparotomy, reviewed the literature, and highlighted the need to consider the differential diagnosis, especially in patients who have been referred from peripheral hospitals where generous antibiotic therapy has been instituted. We also recommend undertaking a preoperative split renal scintigraphy where available, especially when nephrectomy is considered.