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Abdominal mass

BMJ 2004; 329 doi: (Published 01 November 2004) Cite this as: BMJ 2004;329:0411406
  1. R Gudena, senior house officer1,
  2. E K N Ahiaku, consultant urologist1
  1. 1Ysbyty Gwynedd, Bangor

A 29 year old man was admitted as an emergency in the general surgical ward with one day history of right iliac fossa pain. He also had past history of on and off right iliac fossa pain.

On admission he was apyrexial; blood pressure and pulse were normal. Abdominal examination showed non-distended abdomen and tenderness in the right iliac fossa.

An ill defined mass was palpable in the right iliac fossa. Bowel sounds were normal. Laboratory investigations showed slightly raised blood urea and serum creatinine.

Other blood counts and inflammatory markers were normal. An ultrasound scan and ointravenous ureterogram (IVU) identified a congenital anomaly. Subsequently, a computed tomography scan was arranged (fig 1). He had a mercapto acetyl triglyceride renogram, which showed split renal function of 35% on the right side.

Fig 1

Computed tomographof the pelvis


  1. What is the congenital anomaly identified in fig 1?

  2. What is the incidence and sexual distribution of the pelvic kidney?

  3. Name the common anomalies which …

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