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Year : 2021  |  Volume : 27  |  Issue : 1  |  Page : 55-58

Unilateral hypoplastic pelvic ectopic kidney presenting as a cold abscess: A case report

1 Department of Surgery, University College Hospital, Ibadan, Nigeria
2 Department of Pathology, University College Hospital, Ibadan, Nigeria
3 Department of Pathology, University College Hospital/ University of Ibadan, Ibadan, Nigeria

Correspondence Address:
Dr. Olalekan John Adepoju
Department of Surgery, University College Hospital, Ibadan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njs.NJS_27_19

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Renal ectopia, even though a benign condition, presents diagnostic challenges when its complications arise. Cold abscess in an abnormally sited kidney may, therefore, create a diagnostic conundrum for the clinician. We present the case of a 55-year-old male who had a suppurating ectopic kidney that mimicked an abdominal visceral mitotic lesion necessitating initial laparotomy, reviewed the literature, and highlighted the need to consider the differential diagnosis, especially in patients who have been referred from peripheral hospitals where generous antibiotic therapy has been instituted. We also recommend undertaking a preoperative split renal scintigraphy where available, especially when nephrectomy is considered.

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