Season 8 Case 20

Season 8 Jan 16, 2020

History: flank pain

Any idea why this young lady keep coming back to the ER for the same problem?

Answer: Duplicated renal collecting system with chronic reflux of the lower pole moiety (remember left = cranial)

Reverse of “drooping lily sign"

Good old Weigert-Meyer law:

Upper - obstructs (OU)

Lower - Refluxes (LR)

Season 9 Case 14