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October 1978

Pelvic Kidney: Contraindication to Herniography

Author Affiliations

Department of Radiological Sciences University of Oklahoma School of Medicine PO Box 26307 Oklahoma City, OK 73126

Am J Dis Child. 1978;132(10):1042. doi:10.1001/archpedi.1978.02120350110024

Sir.—Contrast herniography is well established as a method for demonstrating patency of the processus vaginalis. Although some contraindications have been stated in the literature, we report, to our knowledge, the first instance of an inadvertent "renal biopsy" due to a pelvic kidney.

Report of a Case.—A 20-year-old man was seen after being denied a job because of an inguinal hernia. On physical examination, no inguinal hernia was found, but the patient was noted to be hypertensive (158/102 mm Hg). Abdominal examination showed no masses. A herniogram was attempted.

Anterior abdominal wall was prepared in a sterile manner; a needle was introduced in the midline, 2 to 3 cm below the umbilicus, and contrast media was injected under fluoroscopic control. On the initial attempt, it was noted that the contrast agent was

Abdominal film taken while patient was in a supine position showing contrast media within anterior abdominal