Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of a pelvic ectopic kidney, incidentally discovered on imaging. Patient is currently [asymptomatic / reporting flank pain / recurrent UTI / hematuria]. No history of renal calculi or obstructive uropathy. Denies voiding dysfunction or constitutional symptoms.
Clinical Examination Findings
Abdominal examination: Soft, non-tender, no palpable masses or organomegaly. Pelvic region: No palpable masses or tenderness on deep palpation. External genitalia: Normal anatomical appearance. Renal angle: No tenderness on percussion.
Treatment Protocol
Conservative management with periodic monitoring of renal function (Cr, eGFR) and blood pressure control. Annual renal ultrasound to assess for hydronephrosis or calculi. Advise hydration and prompt treatment of any urinary tract infections. Surgical intervention reserved for complications such as severe obstruction, recurrent stones, or persistent infection.