Nephroptosis in a young woman with joint laxity.

Nature Reviews. Nephrology
Barbara A Clark, Amandeep Sekhon

Abstract

A 25-year-old woman was evaluated repeatedly from 10 months following her first pregnancy and delivery for recurrent episodes of lower right quadrant abdominal pain, hematuria and a sensation of mass. Despite investigations by several physicians over a 7 month period no clear diagnosis had been made, but a psychosomatic disorder or possible periodic blocked bowel had been suggested, after which the patient requested a consultation with a nephrologist. Her history indicated joint laxity syndrome and a mitral valve prolapse. She was undergoing continuing evaluation for a possible rheumatic condition. Full history, physical examination, and intravenous pyelography. Nephroptosis of the right kidney. Exercises were prescribed to strengthen her abdominal musculature and she was advised to wear an elastic abdominal corset during the daytime. The patient is currently considering surgical intervention.

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Citations

Apr 30, 2020·BMJ Case Reports·Ralph GrauerNoah Schenkman

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