'Pancake' kidney: an incidental finding in a young man
The present case has been reported in BMJ. An 18-year-old man presented to the surgery emergency department with signs and symptoms of acute intestinal obstruction. There was a previous history of exploratory laparotomy for intestinal obstruction 8 years ago.

Abdominal examination revealed a healthy transverse scar in the right lumbar region extending to the umbilical region, abdominal distension and no tenderness or guarding. The patient was managed conservatively by nasogastric tube decompression and intravenous fluids support.

A contrast-enhanced computed tomography (CECT) of the abdomen was done. The patient responded well to the conservative management, and the intestinal obstruction was relieved. The CECT abdomen reported an ectopic location of bilateral kidneys, lying in the lower abdomen. T

he kidneys were para-median in location and extending between L4 and S2 vertebrae. Upper and mid-pole of both kidneys were fused across the midline. No evidence of any calculus or hydronephrosis was seen. Opacification of bilateral pelvicalyceal system and ureters was noted on delayed images.

Learning points
• Pancake kidney is an extremely rare congenital renal fusion disorder.

• The diagnosis of pancake kidney is usually an incidental one, and unless the patient is symptomatic, a conservative approach is pursued.

• Individuals with pancake kidney have a higher incidence of neoplasms; therefore, periodic regular follow-up is advisable.

Read in detail here: http://casereports.bmj.com/content/2018/bcr-2018-226751.full
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