case_images: PMC9392012_01
case_images: ultrasound sonography test (USG) showing empty renal fossa with non-visualisation of right kidney; multiple varied sized cysts in liver parenchyma
case_images: PAMJ-42-116-g001.jpg
case_images: PMC9392012_01_PAMJ-42-116-g001.jpg
case_images: F1
case_images: Diagnostic procedure: patient was advised for sonographic evaluation for his complaints, on ultrasound abdomen, The right renal fossa was empty and liver showed multiple varied sized anechoic parenchymal cysts containing clear fluid, the largest one measuring approx. 3.2 x 2.3 cm. (Figure 1).
case_images: (A) USG showing right kidney which was placed low in the abdomen containing multiple anechoic cysts; (B) USG showing enlarged left kidney containing multiple anechoic cysts
case_images: PAMJ-42-116-g002.jpg
case_images: PMC9392012_01_PAMJ-42-116-g002.jpg
case_images: F2
case_images: Both kidneys were seen placed low in the abdomen, containing multiple cysts of variable sizes and causing distortion of normal architecture of kidneys (Figure 2).
case_images: (A) USG showing isthmus which was replaced by multiple anechoic cysts connecting lower poles of bilateral kidneys; (B) isthmus was seen crossing anterior to abdominal aorta
case_images: PAMJ-42-116-g003.jpg
case_images: PMC9392012_01_PAMJ-42-116-g003.jpg
case_images: F3
case_images: The longitudinal axis of both kidneys was altered and medially rotated, with an isthmus connecting the lower poles of both kidneys crossing anterior to the abdominal aorta (Figure 3).