The lady seen for evaluation of left flank pain and a 'small left kidney'.

A 56-year-old woman was referred by her family (150/100 mmHg). The family history was positive for hypertension and blood pressure was perfectly condoctor to our outpatient hypertension clinic for further evaluation of hypertension and a small left kidney. trolled (120/70 mmHg) with an ACE-inhibitor. Because of the pain in the left flank, 3 weeks The patient was referred with the suggestion that a renal scan was needed. When first seen, the patient previously she underwent an ultrasound study which revealed a large right kidney with normal cavities. The reported that she had been su ering from pain in the left flank for 2 months. She was clearly depressed left kidney was not found in the usual place, while a small mass (5×4 cm) with a kidney-like appearance because no cause for her pain had been found. During the interview she repeatedly pointed to her left flank. was found in the left flank. Urography showed a single large right kidney with a normal appearing excretory She did not even mention hypertension. Past medical history revealed a duodenal ulcer found 15 years system. Laboratory examinations were unremarkable. The patient was then referred to our clinic for what before, currently treated with anti-H2 drugs. When explicitly asked she mentioned that in the last 2 years was supposed to be a small ectopic non-excreting left kidney probably causing her hypertension. she has been found to be slightly hypertensive