Presentation
This patient came for CT abdomen 'stone protocol' for left loin pain. She also showed abnormal gait and severe scoliosis.
Patient Data
Advanced S-shape scoliotic deformity of the thoracic and lumbar spine with a marked pelvic tilt towards the left side.
Dysplastic right acetabulum, dislocated right hip joint, upward and lateral migration of the right femoral head with pseudo-arthrosis with right iliac bone.
Left-sided upper third ureteric stone, located within the upper third of the right ureter about 6 cm distal to the pelviureteric junction. Consequent backpressure changes are seen with moderate dilatation of the proximal ureter and collecting system. Otherwise, multiple left lower calyceal renal gravels are noted within the dilated collecting system.
Case Discussion
This case demonstrates the appearance of longstanding untreated developmental dysplasia of the hip (DDH). This patient was diagnosed in her early childhood and never treated. She also showed abnormal gait and severe scoliosis was identified on imaging. She came complaining of left renal pain for CT stone protocol.
Some studies showed an association between scoliosis and DDH. However, we cannot assume, in this case, that scoliosis has occurred as a result of the neglected DDH.
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