Aklilu Getachew Nathan Suga ^* Jochebed Suga Nuhamin Kiflemariam

• Myungsung Medical College, Addis Ababa, Ethiopia

A supernumerary kidney is an extremely rare congenital renal anomaly, defined by the presence of one or more extra kidneys. Unilateral cases occur more commonly on the left side. Reporting such uncommon anomalies is important for several reasons, including improving diagnosis and treatment, educating clinicians and radiologists about the recognition and management of supernumerary kidneys, and comparing the case to existing literature, noting similarities and differences in presentation, management, or outcomes. A 35-year-old male patient presented to our hospital in Addis Ababa, Ethiopia with left lower flank pain. His blood pressure was elevated upon first visit, but other physical examination and laboratory investigation findings were unremarkable. Abdomino-pelvic ultrasound and CT computed tomographic urography confirmed the diagnosis of left sided supernumerary kidney with no association of other abnormalities. In such cases, the diagnosis of supernumerary kidney is made using an abdominal ultrasound scan, intravenous urography (IVU), computed tomographic urography (CT urography), and magnetic resonance imaging (MRI). Management depends on the patient's symptoms. Asymptomatic cases must be followed-up regularly. If the supernumerary kidney is unfunctional or associated other abnormalities nephrectomy is indicated. We managed our patient with adequate analgesia and was appointed for follow up.