A Case of Unilateral Renal Agenesis Detected by Abdominal Point-Of-Care Ultrasound

Takaaki Mori; Osamu Nomura; Naoaki Mikami; Hiroshi Hataya

doi:10.7759/cureus.51453

A Case of Unilateral Renal Agenesis Detected by Abdominal Point-Of-Care Ultrasound

Cureus. 2024 Jan 1;16(1):e51453. doi: 10.7759/cureus.51453. eCollection 2024 Jan.

Authors

Takaaki Mori¹, Osamu Nomura², Naoaki Mikami³, Hiroshi Hataya³

Affiliations

¹ Department of Pediatric Emergency Medicine and Critical Care, Tokyo Metropolitan Children's Medical Center, Tokyo, JPN.
² Department of Health Sciences Education, Hirosaki University, Hirosaki, JPN.
³ Department of Nephrology, Tokyo Metropolitan Children's Medical Center, Tokyo, JPN.

Abstract

As the interest in point-of-care ultrasound (POCUS) for investigating pediatric abdominal emergencies has been growing, an increasing number of literatures about abdominal POCUS has been published. We describe a noteworthy instance of a systematic approach using abdominal POCUS for detecting unilateral renal agenesis (URA) in previously healthy children with suspected intussusception. A previously healthy three-year-old girl was brought to our emergency department (ED) due to abdominal pain and bloody diarrhea. POCUS was performed to investigate the presence of intussusception. POCUS was able to rule out intussusception and detect URA. The investigation led the patient to a proper nephrology follow-up. When performing abdominal POCUS to evaluate gastrointestinal pathologies, it is important to pay attention to concomitant congenital anomalies of the kidney and urinary tract (CAKUT).

Keywords: children; emergency department; intussusception; ultrasound; urogenital anomalies.

Publication types

Case Reports