Renal scintigraphy in diagnosis and management of nephroptosis
A 20-year-old gentleman presented with pain in the right-half of the abdomen in lower aspect for the past 6 months. The pain was dragging type. He said he had a feeling of a lump in that region. No relation with food intake. The pain worsened on jerky movement and prolonged physical activity. There was no history of trauma to the abdomen. About a month back, he had sudden pain at the same site with oliguria and dysuria. There was no radiation to the groin. There was no history of graveluria or hematuria.\nThe ultrasound abdomen and CT abdomen, done then, were normal. Intravenous urogram was not done due to the absence of any specific indication like non-visualization or non-functioning of kidney, renal calculus or ureteric calculus and hydronephrosis. The pain subsided after 24 h, with the use of analgesics, but he noticed frequent micturation during recovery. There was no history of fever, nausea or vomiting. There was no bowel disturbance. He was neither a diabetic nor hypertensive. On examination, he was thin built, moderately nourished, weight 52 kg, height 174 cm, not anaemic, no oedema, no cyanosis, no clubbing, and no lymphadenopathy. Blood pressure: 110/70 mmHg. Pulse 72 bpm. Cardiovascular and respiratory examination was normal. Abdominal examination was unremarkable.\nComplete blood and urine examination, including culture and sensitivity and radiograph of dorsolumbar vertebrae anteroposterior view and lateral view show normal.