© 2003 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Renal medicine
Congenital renal anomaly in a patient with situs inversus
Ysbyty Gwynedd North West Wales NHS Trust, Bangor LL57 2PW, UK
Correspondence to:
Correspondence to:
Mr Chaturvedi;
patanjali_c@hotmail.com
Accepted 24 January 2003
Answers on p 359.
Keywords: congenital renal anomaly; horseshoe kidney; renal anomaly
| The first 150 words of the full text of this article appear below. |
A 65 year old man was referred to the urology clinic with a two month history of right loin pain. He had no previous urological history. Situs inversus had been diagnosed previously during a routine appendicectomy.
Clinical examination and blood pressure were normal. Laboratory evaluation including blood urea, serum creatinine, 24 hour urinary protein, and urine culture were normal. A plain abdominal radiograph showed no calculi. An ultrasound scan identified a suspicious mass lesion, which demonstrated increased vascularity in the lower pole of the left kidney. A subsequent computed tomogram failed to identify a mass lesion but did reveal a congenital abnormality (fig 1
) in addition to the previously diagnosed situs inversus (fig 2
). The patient was reassured and discharged with instructions for a regular blood and urine check by his family doctor.
|
[in a new window] Figure 1 Computed tomogram showing congenital abnormality.
| |||||||||
|
[in a new window] Figure 2 Computed tomogram showing situs inversus.
| |||||||||
- Name the congenital
. . . [Full text of this article]
Relevant Article
-
Congenital renal anomaly in a patient with situs inversus
Postgrad. Med. J. 2003 79: 359.[Extract] [Full Text] [PDF]
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
