PMC8112366_01
Clinical images showing the (a) right iliac fossa lump (arrow) (b) pus aspirated from the pyonephrotic kidney after a nephrostomy was inserted (c) intraoperative image depicting the anomalous origin of renal vessels from the common iliac vessels (arrow)
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F1
Abdominal examination revealed a vague nonpulsatile lump in the right iliac fossa of size approximately 12 cm extending into the right lumbar region [Figure 1a]. The nephrostomy drained 200 ml of pus, which grew E. coli on culture [Figure 1b]. The hilar vessels of the grossly infected ectopic kidney were controlled as they originated from the common iliac vessels, and the kidney was delivered out in toto [Figure 1c].
Right ectopic kidney seen on (a) Noncontrast computed tomography occupying the right iliac fossa with extensive perinephric stranding, anteriorly facing pelvis (arrow) filled with calculi and thinned out parenchyma (b) Contrast enhanced computed tomography showing the striking absence of kidney in right renal fossa (c) computed tomography urogram showing absence of contrast excretion in the dilated ectopic kidney (arrow) with normal drainage in contralateral kidney
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F2
A contrast-enhanced computed tomography (CECT) confirmed the lumbar position of the right kidney which was malrotated with thinned out parenchyma and an anteriorly facing renal pelvis [Figure 2a and b]. There was no uptake, excretion, or drainage of contrast in the ectopic right kidney [Figure 2c].