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Malposition of Kidney



Dr. Gibbonspoke of a case of malposition of the kidney which he had recently seen in the dissecting-room. The organ, which was of normal size, was more or less firmly attached in the left iliac fossa, receiving its blood supply by a very short vessel from the external iliac, and having a correspondingly short ureter. The fact that the kidney was fixed in this position, together with the length of the renal artery and the ureter, shows that the kidney had always occupied the iliac fossa ; this anomaly suggests the necessity of always palpating the kidney before making an incision to reach it. One can readily imagine the varied complications of diagnosis which a diseased kidney so placed might give rise to, and such complications would be greatly increased if the right kidney should be so anomalously situated.