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Malrotated kidneys

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Hi Dr.
I am 24yrs old, male, recently did a normal medical checkup for low hip pain, however this pain exists only for 2 days and never had pain again). Medical report shows I have 70% kidney problems and shows below indications.
1) Bilateral mild increase in renal cortical echoes
2) cortico meduilary differentiation is maintained
3) Left kidney is malrotated.
Can you please advice what is the next step i need to take to cure this, will my health be a problem always life long?

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replied May 10th, 2010
Kidney Conditions Answer A11927
Hi and welcome to the forum! I am glad that I can help you.

You want to know the cause of the symptoms that you experience.

During the fetal development the kidneys rotate with its concave side turned towards the spinal column. A malrotated kidney appears due to incomplete rotation of the kidney during the fetal development. Depending on the level of rotation, the kidney with its blood vessels and ureter may be turned a little to the front or to the side opposite from the spinal column. This may cause a small or great twisting of the ureter which may cause an obstruction to passage of urine. This obstruction may affect the functional kidneys causing hydronephrosis and necrosis of the kidney tissue due to the pressure of the urine that is collected above the twist.

Given the data that you described, you are experiencing a malrotated kidney, with no evidence of calculi and hydronephrosis. According to the laboratory results that you provided it is likely that you experience increased levels of blood urea and creatinine which suggest that you experience kidney issues. See a nephrologist for further advice and information about the symptoms and the laboratory test results that you experience.

Please keep in mind that I provide medical information only. I am not able to diagnose medical conditions online. Please contact your doctor or other qualified health provider such as a nephrologist for further advice and information about diagnosis and treatment options.

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