PMC4571541_01
(A) Transverse ultrasound of the left hypochondrium showing absent kidney in the left renal fossa. (SPL - spleen). (B) Color Doppler transverse ultrasound of the urinary bladder showing a jet of urine emerging from the left uretero-vesical junction.
poljradiol-80-425-g001.jpg
PMC4571541_01_poljradiol-80-425-g001.jpg
f1-poljradiol-80-425
An emergency ultrasound scan of the abdomen was reported as non-visualization of the left kidney in the left renal region (Figure 1A), or elsewhere in the abdomen (examination was limited due to presence of excessive bowel gases). During scan of the urinary bladder which was normal in outline a jet of urine was seen emerging from the left uretero-vesical junction which was confirmed on color Doppler examination (Figure 1B).
Intravenous pyelogram showing the ectopic location of the left kidney at the level of L4, L5 and S1 vertebrae. Right kidney was normal in location. Bilateral ureters are also visualised. Contrast is also seen in the urinary bladder.
poljradiol-80-425-g002.jpg
PMC4571541_01_poljradiol-80-425-g002.jpg
f2-poljradiol-80-425
IVP (intravenous pyelogram) was requested. It revealed that the left kidney was not located in its normal anatomical position and was instead found at the level of L4, L5 and S1 vertebrae, slightly to the left of the midline (Figure 2).