Ectopic pelvic kidney and its renal artery from the common iliac artery

The pelvic kidney is the most common type of renal ectopia. It is clinically asymptomatic in general but are more prone to the urinary infections. It has also been associated with an increased risk of nephrolithiasis. The 37-year-old man was admitted to the emergency room with complaints of left flank pain, nausea and vomiting. In addition to this flank pain, the patient had an intermittent pain in the lower abdomen and pelvic region for 6 years with no history of fever. The renal ultrasound demonstrating several shadowing echogenic areas consistent with nephrolithiasis in both kidneys. In addition, while the right kidney was in the normal size and location, the left kidney was located on the ectopic site, just above the bladder. Doppler examination revealed double renal arteries originating from the aorta on the right side. Our case indicates the importance of the ectopic pelvic kidney location when planning surgical procedures in patients with renal and pelvic pathology, kidney transplantation and nephrectomy.