PMC3874350_01
Previous CT scan from 2006 (a) and CT scan from 2010; (b) patient presentation in the emergency department depicting new anterior position of right kidney.
CRIM.UROLOGY2013-498507.001.jpg
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fig1
A CT scan (Figures 1 and 2) of the abdomen was obtained due to her age and severity of pain and the report from the on-call radiologist noted the following.
Previous CT scan from 2006 (a) and CT scan from 2010; (b) patient presentation in the emergency department depicting crossing vessel (indicated by arrow).
CRIM.UROLOGY2013-498507.002.jpg
PMC3874350_01_CRIM.UROLOGY2013-498507.002.jpg
fig2
A CT scan (Figures 1 and 2) of the abdomen was obtained due to her age and severity of pain and the report from the on-call radiologist noted the following.
PMC3874350_02
CT scan from November 2013 performed in the emergency department depicting right kidney (indicated by arrow) anterior to left kidney with extreme hydronephrosis.
CRIM.UROLOGY2013-498507.003.jpg
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fig3
A noncontrast CT scan was performed and the patient's right kidney had now translocated across the midline to a position anterior to her left kidney with extreme hydronephrosis present (Figure 3).
Right retrograde pyelogram conducted the following day indicating translocated right kidney now in the right lower quadrant with double-J stent in place.
CRIM.UROLOGY2013-498507.004.jpg
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fig4
The following day, a retrograde pyelogram (Figure 4) was performed showing that the right kidney had moved back to the right lower quadrant.