Citation, DOI and article data
Pelvic ectopia is seen in 1 in 2,100-3,000 autopsies. It is considered the most common form of renal ectopia 4.
Ectopic kidneys are often associated with other abnormalities such as agenesis of the opposite kidney, vascular malformations and genital anomalies.
Other uncommon associations include:
The vascular supply of pelvic kidneys is highly variable, mainly due to it retaining its fetal blood supply. Single, dual and triple supply have been reported originating from the aortic bifurcation, the common iliac and the internal iliac arteries 5.
These patients tend to be asymptomatic and often the diagnosis is incidental on an imaging test performed for a reason unrelated to the renal tract.
Renal tract pathology (e.g. infection, calculus) can affect pelvic kidneys and thus the referred pain is not typical for the renal tract and it may be confused for other abdominopelvic pathology, e.g. appendicitis or pelvic inflammatory disease.
Other signs and symptoms of ectopic kidneys include:
- palpable abdominal or pelvic mass
- urinary tract infection
- renovascular hypertension secondary to an anomalous blood supply (from the iliac (common/external/iliac) arteries)
- dystocia from a pelvic kidney
- 1. Thomas G, BARTON JC. Ectopic pelvic kidney. JAMA. 1936;106(3):197-201
- 2. Kakitsubata Y, Kakitsubata S, Watanabe K et-al. Pelvic kidney associated with other congenital anomalies: US and CT manifestations. Radiat Med. 1993;11 (3): 107-9. Pubmed citation
- 3. Erkonen WE, Smith WL. Radiology 101. Lippincott Williams & Wilkins. ISBN:0781751985. Read it at Google Books - Find it at Amazon
- 4. Barbaric ZL. Principles of genitourinary radiology. Thieme Medical Pub. ISBN:0865773475. Read it at Google Books - Find it at Amazon
- 5. Eid S, Iwanaga J, Loukas M et-al. Pelvic Kidney: A Review of the Literature. Cureus. 2018;10(6):e2775. Published 2018 Jun 9. doi:10.7759/cureus.2775.